| dc.contributor |
Wichita State University. Department of Public Health Sciences |
en_US |
| dc.contributor.author |
Swan, James H. |
en_US |
| dc.contributor.author |
Harrington, Charlene |
en_US |
| dc.contributor.author |
Pickard, Ruth B. |
en_US |
| dc.date.accessioned |
2012-03-07T17:40:37Z |
|
| dc.date.available |
2012-03-07T17:40:37Z |
|
| dc.date.issued |
2001 |
en_US |
| dc.identifier |
11140119 |
en_US |
| dc.identifier |
9000937 |
en_US |
| dc.identifier.citation |
Journal of health & social policy. 2001; 12(4): 53-73. |
en_US |
| dc.identifier.issn |
0897-7186 |
en_US |
| dc.identifier.uri |
http://dx.doi.org/10.1300/J045v12n04_04 |
en_US |
| dc.identifier.uri |
http://hdl.handle.net/10057/4778 |
|
| dc.description |
Click on the DOI link below to access the article (may not be free). |
en_US |
| dc.description.abstract |
Medicaid nursing home reimbursement methods and per diem rates affect costs, quality, equity, and access. State rate-setting is a laboratory of policymaking, which can inform state and federal Medicaid reform initiatives. This paper explains state Medicaid nursing facility rates in 1979-1994. Findings suggest that prospective facility-specific methods constrained rates in some but not all periods, particularly when older cost-reports were employed in rate-setting. Analysis failed to show that prospective class rate-setting methods constrained rate increases. Findings suggest that the efficacy of reimbursement methodology to control rates depends upon wider health care policy trends and that future facility-level analyses should consider policy contexts as between states. |
en_US |
| dc.format.extent |
53-73 |
en_US |
| dc.language.iso |
eng |
en_US |
| dc.publisher |
Routledge |
en_US |
| dc.relation.ispartofseries |
Journal of Health & Social Policy |
en_US |
| dc.relation.ispartofseries |
J Health Soc Policy |
en_US |
| dc.source |
NLM |
en_US |
| dc.subject |
Research Support, U.S. Gov't, Non-P.H.S. |
en_US |
| dc.subject.mesh |
Aged |
en_US |
| dc.subject.mesh |
Data Collection |
en_US |
| dc.subject.mesh |
Health Services Accessibility/economics |
en_US |
| dc.subject.mesh |
Humans |
en_US |
| dc.subject.mesh |
Medicaid/economics |
en_US |
| dc.subject.mesh |
Nursing Homes/economics |
en_US |
| dc.subject.mesh |
Rate Setting and Review/methods |
en_US |
| dc.subject.mesh |
Regression Analysis |
en_US |
| dc.subject.mesh |
Reimbursement Mechanisms/trends |
en_US |
| dc.subject.mesh |
Research Support as Topic |
en_US |
| dc.subject.mesh |
State Health Plans/economics |
en_US |
| dc.subject.mesh |
United States |
en_US |
| dc.subject.mesh |
Rate Setting and Review/trends |
en_US |
| dc.subject.mesh |
Medicaid/statistics & numerical data |
en_US |
| dc.subject.mesh |
State Health Plans/statistics & numerical data |
en_US |
| dc.title |
Explaining state Medicaid nursing home reimbursement |
en_US |
| dc.type |
Article |
en_US |
| dc.coverage.spacial |
United States |
en_US |
| dc.description.version |
peer reviewed |
en_US |
| dc.rights.holder |
Copyright © Routledge |
en_US |