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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.authorPickard, Ruth B.en_US
dc.date.accessioned2012-03-07T17:40:37Z
dc.date.available2012-03-07T17:40:37Z
dc.date.issued2001en_US
dc.identifier11140119en_US
dc.identifier9000937en_US
dc.identifier.citationJournal of health & social policy. 2001; 12(4): 53-73.en_US
dc.identifier.issn0897-7186en_US
dc.identifier.urihttp://dx.doi.org/10.1300/J045v12n04_04en_US
dc.identifier.urihttp://hdl.handle.net/10057/4778
dc.descriptionClick on the DOI link below to access the article (may not be free).en_US
dc.description.abstractMedicaid 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.extent53-73en_US
dc.language.isoengen_US
dc.publisherRoutledgeen_US
dc.relation.ispartofseriesJournal of Health & Social Policyen_US
dc.relation.ispartofseriesJ Health Soc Policyen_US
dc.sourceNLMen_US
dc.subjectResearch Support, U.S. Gov't, Non-P.H.S.en_US
dc.subject.meshAgeden_US
dc.subject.meshData Collectionen_US
dc.subject.meshHealth Services Accessibility/economicsen_US
dc.subject.meshHumansen_US
dc.subject.meshMedicaid/economicsen_US
dc.subject.meshNursing Homes/economicsen_US
dc.subject.meshRate Setting and Review/methodsen_US
dc.subject.meshRegression Analysisen_US
dc.subject.meshReimbursement Mechanisms/trendsen_US
dc.subject.meshResearch Support as Topicen_US
dc.subject.meshState Health Plans/economicsen_US
dc.subject.meshUnited Statesen_US
dc.subject.meshRate Setting and Review/trendsen_US
dc.subject.meshMedicaid/statistics & numerical dataen_US
dc.subject.meshState Health Plans/statistics & numerical dataen_US
dc.titleExplaining state Medicaid nursing home reimbursementen_US
dc.typeArticleen_US
dc.coverage.spacialUnited Statesen_US
dc.description.versionpeer revieweden_US
dc.rights.holderCopyright © Routledgeen_US


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