Impact of the Medicare Catastrophic Coverage Act on nursing homes

被引：12

作者：

Laliberte, L

Mor, V

Berg, K

Intrator, O

Calore, K

Hiris, J

机构：

[1] ABT ASSOCIATES INC,CAMBRIDGE,MA 02138

[2] BROWN UNIV,CTR GERONTOL & HLTH CARE RES,PROVIDENCE,RI 02912

来源：

MILBANK QUARTERLY | 1997年 / 75卷 / 02期

关键词：

PROSPECTIVE PAYMENT SYSTEM; HEALTH-CARE; RATES;

D O I：

10.1111/1468-0009.00052

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The Medicare Catastrophic Coverage Act (MCCA) of 1988 altered eligibility and coverage for skilled nursing facility (SNF) care and changed Medicaid eligibility rules for nursing-home residents. Detailed data on the residents of a for-profit nursing-home chain and Medicare claims for a 1 percent sample of beneficiaries were used to examine the impact of the MCCA on nursing homes. The case mix of nursing-home admissions was scrutinized, specifically for length of stay discharge disposition, rate of hospitalization, and changes in payer source. Findings revealed chat, although the proportion of Medicare-financed nursing-home care increased, as did the case-mix severity of residents during the MCCA period, there was no corollary reduction in hospital use by nursing-home residents.

引用

页码：203 / &

页数：32

共 20 条

[1]

AARONSON WE, 1994, J HEALTH POLIT POLIC, V19, P753

[2] RECENT GROWTH OF MEDICARE HOME HEALTH [J].