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dc.contributorWichita State University. Department of Public Health Sciencesen_US
dc.contributor.authorSwan, James H.en_US
dc.contributor.authorHarrington, Charleneen_US
dc.contributor.authorClemeña, Wendyen_US
dc.contributor.authorPickard, Ruth B.en_US
dc.contributor.authorStuder, Liatrisen_US
dc.contributor.authordeWit, Susan K.en_US
dc.identifier.citationMedical care research and review : MCRR. 2000 Sep; 57(3): 361-78.en_US
dc.descriptionClick on the DOI link below to access the article (may not be free).en_US
dc.description.abstractThis article describes state Medicaid nursing facility reimbursement methods and rates in 1979-1997, using data derived from telephone surveys of state Medicaid reimbursement. The 1980s saw shifts toward prospective methodology. The late 1980s and early 1990s were characterized by adoption of casemix methods. The early 1990s also saw fewer changes in methodology with a hiatus in the mid-1990s followed recently by renewed changes to methodology. Medicaid per diem rates have increased faster than inflation but less rapidly than general health costs. The repeal of the Boren Amendment may now allow states to institute greater cost controls or moratoria on rate increases. Despite states' tendencies to follow one another's examples, Medicaid reimbursement remains diverse nationally, with wide differences in policies and rates.en_US
dc.publisherSage Publicationsen_US
dc.relation.ispartofseriesMedical Care Research and Review : Mcrren_US
dc.relation.ispartofseriesMed Care Res Reven_US
dc.subjectResearch Support, U.S. Gov't, Non-P.H.S.en_US
dc.subject.meshCost Controlen_US
dc.subject.meshData Collection/methodsen_US
dc.subject.meshMedicaid/legislation & jurisprudenceen_US
dc.subject.meshProspective Payment Systemen_US
dc.subject.meshRate Setting and Review/legislation & jurisprudenceen_US
dc.subject.meshReimbursement Mechanisms/trendsen_US
dc.subject.meshSkilled Nursing Facilities/economicsen_US
dc.subject.meshState Health Plans/organization & administrationen_US
dc.subject.meshUnited Statesen_US
dc.subject.meshMedicaid/organization & administrationen_US
dc.subject.meshSkilled Nursing Facilities/legislation & jurisprudenceen_US
dc.titleMedicaid nursing facility reimbursement methods: 1979-1997en_US
dc.coverage.spacialUnited Statesen_US
dc.description.versionpeer revieweden_US
dc.rights.holderCopyright © 2000 Sage Publicationsen_US

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