Nursing Home Levels of Care: Reimbursement of Resident Specific Costs
The companion paper on nursing home levels of care (Bishop, Plough and Willemain, 1980) recommended a “split-rate” approach to nursing home reimbursement that would distinguish between fixed and variable costs. This paper examines three alternative treatments of the variable cost component of the ra...
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CENTERS for MEDICARE & MEDICAID SERVICES
1980
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Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4191142/ |
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pubmed-41911422014-11-04 Nursing Home Levels of Care: Reimbursement of Resident Specific Costs Willemain, Thomas R. Original Research Article The companion paper on nursing home levels of care (Bishop, Plough and Willemain, 1980) recommended a “split-rate” approach to nursing home reimbursement that would distinguish between fixed and variable costs. This paper examines three alternative treatments of the variable cost component of the rate: a two-level system similar to the distinction between skilled and intermediate care facilities, an individualized (“patient-centered”) system, and a system that assigns a single facility-specific rate that depends on the facility's case-mix (“case-mix reimbursement”). The aim is to better understand the theoretical strengths and weaknesses of these three approaches. CENTERS for MEDICARE & MEDICAID SERVICES 1980 /pmc/articles/PMC4191142/ /pubmed/10309330 Text en |
repository_type |
Open Access Journal |
institution_category |
Foreign Institution |
institution |
US National Center for Biotechnology Information |
building |
NCBI PubMed |
collection |
Online Access |
language |
English |
format |
Online |
author |
Willemain, Thomas R. |
spellingShingle |
Willemain, Thomas R. Nursing Home Levels of Care: Reimbursement of Resident Specific Costs |
author_facet |
Willemain, Thomas R. |
author_sort |
Willemain, Thomas R. |
title |
Nursing Home Levels of Care: Reimbursement of Resident Specific Costs |
title_short |
Nursing Home Levels of Care: Reimbursement of Resident Specific Costs |
title_full |
Nursing Home Levels of Care: Reimbursement of Resident Specific Costs |
title_fullStr |
Nursing Home Levels of Care: Reimbursement of Resident Specific Costs |
title_full_unstemmed |
Nursing Home Levels of Care: Reimbursement of Resident Specific Costs |
title_sort |
nursing home levels of care: reimbursement of resident specific costs |
description |
The companion paper on nursing home levels of care (Bishop, Plough and Willemain, 1980) recommended a “split-rate” approach to nursing home reimbursement that would distinguish between fixed and variable costs. This paper examines three alternative treatments of the variable cost component of the rate: a two-level system similar to the distinction between skilled and intermediate care facilities, an individualized (“patient-centered”) system, and a system that assigns a single facility-specific rate that depends on the facility's case-mix (“case-mix reimbursement”). The aim is to better understand the theoretical strengths and weaknesses of these three approaches. |
publisher |
CENTERS for MEDICARE & MEDICAID SERVICES |
publishDate |
1980 |
url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4191142/ |
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1613142459794063360 |