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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Main Author: Willemain, Thomas R.
Format: Online
Language:English
Published: CENTERS for MEDICARE & MEDICAID SERVICES 1980
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4191142/
id pubmed-4191142
recordtype oai_dc
spelling 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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