Medicaid nursing facility reimbursement methods: 1979-1997
Swan, James H. ; Harrington, Charlene ; ClemeƱa, Wendy ; Pickard, Ruth B. ; Studer, Liatris ; deWit, Susan K.
Swan, James H.
Harrington, Charlene
ClemeƱa, Wendy
Pickard, Ruth B.
Studer, Liatris
deWit, Susan K.
Citations
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Location
Time Period
Advisors
Original Date
Digitization Date
Issue Date
2000-09
Type
Article
Genre
Keywords
Research Support, U.S. Gov't, Non-P.H.S.
Subjects (LCSH)
Citation
Medical care research and review : MCRR. 2000 Sep; 57(3): 361-78.
Abstract
This 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.
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Publisher
Sage Publications
Journal
Book Title
Series
Medical Care Research and Review : Mcrr
Med Care Res Rev
Med Care Res Rev
Digital Collection
Finding Aid URL
Use and Reproduction
Archival Collection
NLM
PubMed ID
DOI
ISSN
1077-5587
