Case-mix nursing home reimbursement : (Record no. 33851)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02417naa a2200217uu 4500 |
| 001 - CONTROL NUMBER | |
| control field | 0060116443437 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20190211172308.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 100601s1997 xx ||||gr |0|| 0 eng d |
| 999 ## - SYSTEM CONTROL NUMBERS (KOHA) | |
| Koha Dewey Subclass [OBSOLETE] | PHL2MARC21 1.1 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | eng |
| 100 1# - MAIN ENTRY--PERSONAL NAME | |
| Personal name | BROYLES, Robert |
| 9 (RLIN) | 40778 |
| 245 10 - TITLE STATEMENT | |
| Title | Case-mix nursing home reimbursement : |
| Remainder of title | a technical fix for a policy inadequacy? |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | New York : |
| Name of publisher, distributor, etc. | Marcel Dekker, |
| Date of publication, distribution, etc. | 1997 |
| 520 3# - SUMMARY, ETC. | |
| Summary, etc. | Most state Medicaid programs, in many cases the largest fundors of long term care, reimburse nursing homes or home health agencies on negotiated flat rates. However, several states have implemented or are planning to use reimbursement methods using case-mix indices to adjust for the different variable costs (e.g., resource utilization groups, RUGs) incurred in caring for different types of patients. Advocates contend that such methods can simultaneously help contain costs and enhance access by motivating the nursing home to keep costs below predetermined rates and mitigating providers' reluctance to admit heavy care residents. The numbers of such residents putatively have increased as a result of incentives in the Prospective Payment System for hospitals to more quickly discharge sicker patients. However, the potentially negative effects of case-mix reimbursement (CMR) on quality of care have not gone unnoticed, and the costs (as yet undetermined) of mechanisms to avert these effects likely are nontrivial. |
| 520 3# - SUMMARY, ETC. | |
| Summary, etc. | This paper examines the effects of CMR on cost (to states and nursing homes), access and quality. A preliminary review of the available evidence seems to indicate mixed results; yet, CMR obviously appeals to some Medicaid programs and representatives of the nursing home industry. We suggest that the allure of CMR may be due to a mistaken belief that, to borrow from Brandon (1990), such tech fixes obviate irksome negotiation on the part of policy elites. |
| 520 3# - SUMMARY, ETC. | |
| Summary, etc. | An alternate reimbursement policy is proposed: a negotiated prepayment, based on a facility's global budget, with periodic allocations and an end of period adjustment to compensate the provider for unanticipated costs. |
| 700 1# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | FALCONE, David |
| 9 (RLIN) | 40779 |
| 773 08 - HOST ITEM ENTRY | |
| Title | International Journal of Public Administration - IJPA |
| Related parts | 20, 2, p. 339-377 |
| Place, publisher, and date of publication | New York : Marcel Dekker, 1997 |
| International Standard Serial Number | ISSN 01900692 |
| Record control number | |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Periódico |
| 998 ## - LOCAL CONTROL INFORMATION (RLIN) | |
| -- | 20100601 |
| Operator's initials, OID (RLIN) | 1644^b |
| Cataloger's initials, CIN (RLIN) | Daiane |
| 998 ## - LOCAL CONTROL INFORMATION (RLIN) | |
| -- | 20100604 |
| Operator's initials, OID (RLIN) | 1533^b |
| Cataloger's initials, CIN (RLIN) | Carolina |
No items available.
