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![loading](/sites/all/modules/hf_eds/images/loading.gif)
Do case-mix adjusted nursing home reimbursements actually reflect costs? Minnesota's experience.
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- Author(s): Nyman, John A.; Connor, Robert A.; Nyman, J A1 (AUTHOR); Connor, R A (AUTHOR)
- Source:
Journal of Health Economics. Jul1994, Vol. 13 Issue 2, p145-162. 18p. 7 Charts.- Subject Terms:
*DIRECT costing; *MEDICAID; *ECONOMIC impact; *DIAGNOSIS related group statistics; *COST effectiveness; *NURSING care facilities; *REGRESSION analysis; *RESEARCH; *RESEARCH funding; *PROSPECTIVE payment systems; *ECONOMICS; PATIENTS; DIAGNOSIS related groups; MEDICAID statistics; COMPARATIVE studies; LENGTH of stay in hospitals; RESEARCH methodology; MEDICAL care costs; MEDICAL cooperation; EVALUATION research - Source:
- Additional Information
- Subject Terms:
- Abstract: Some states have adopted Medicaid reimbursement systems that pay nursing homes according to patient type. These case-mix adjusted reimbursements are intended in part to eliminate the incentive in prospective systems to exclude less profitable patients. This study estimates the marginal costs of different patient types under Minnesota's case-mix system and compares them to their corresponding reimbursements. We find that estimated costs do not match reimbursement rates, again making some patient types less profitable than others. Further, in confirmation of our estimates, we find that the percentage change in patient days between 1986 and 1990 is explained by our profitability estimates. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Health Economics is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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