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References in periodicals archive ?
One of the important objectives of this study was to examine how nursing homes have responded to the efficiency incentives in Maine's nursing home payment system and how those incentive features have affected facilities' financial performance.
Recognizing that designing a nursing home payment system carries with it important trade-offs between the achievement of cost-containment objectives and the goal of assuring that Medicaid patients have access to quality nursing home care, many states have sought to develop case-based payment systems.
To reduce the rate of growth in Medicaid expenditures for nursing home care, states began modifying their nursing home payment systems and limiting nursing home bed supply.
The initial study phase involved categorizing Medicaid nursing home payment systems and then selecting representatives states from each system category.
Overall, the results suggest that case-mix systems have several advantages over other nursing home payment systems.
Comparison of Medicaid Nursing Home Payment Systems.
Nursing home payment systems vary along several dimensions, and different taxonomies have been used in their analysis (Applied Management Sciences, 1976; Pollack, 1977; American Health Care Association, 1978; Spitz and Weeks, 1979; and Grimaldi, 1982).
Quality assurance is critical to all nursing home payment systems.
Important questions remain concerning nursing home payment systems, and new ones arise in the context of continuously evolving Federal and State policies.
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