Profit Status and the Relationship Between Medicaid Reimbursement and Quality in Ohio Nursing Homes PDF Download
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Author: Carrie Jane Davidson
Publisher:
ISBN:
Category :
Languages : en
Pages : 106
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Author: Carrie Jane Davidson
Publisher:
ISBN:
Category :
Languages : en
Pages : 106
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309036437
Category : Medical
Languages : en
Pages : 580
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Book Description
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
Author: John Bowblis
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 24
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Book Description
In 2012 Ohio's Medicaid program spent more than $2.4 billion on nursing home care. Although spending public dollars for Ohioans with severe disability to receive assistance in skilled nursing facilities is an important role of state government, an ever growing older population highlights that nursing home expenditures must be efficient and effective. In an effort to improve the efficiency of the Medicaid reimbursement system, beginning in 2006 the state shifted to a "price reimbursement" system. The revised reimbursement system was designed to reward providers seen as having more efficient staffing patterns and to reduce payments to facilities that the state believed to be overstaffed. Under the price system the expectation was that some facilities would receive an increase in their reimbursement rate, while others would see rates decrease. Because a big component of the nursing home reimbursement rate is based on the level of disability of the residents (known as case mix), there will always be rate differences across facilities. However, the move to the price system was an attempt to lower the variation between the highest and lowest priced facilities. This policy change has been both praised and criticized. The key policy question is: does the move to price impact the quality of care in Ohio’s nursing homes?
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175704
Category : Medical
Languages : en
Pages : 558
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Book Description
Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
Author: Paul J. Gertler
Publisher:
ISBN:
Category : Federal aid to nursing homes
Languages : en
Pages : 21
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Book Description
Nursing homes participate simultaneously in a regulated and an unregulated market, and are required to supply the same quality of service to both markets. Specifically, nursing homes compete for patients who finance their care privately, and patients whose care is financed by the government's Medicaid program. The government reimburses nursing homes a set fee for the care of Medicaid patients, whereas nursing homes charge "private pay" patients what the market will bear. Quality is determined by competition in the"private pay" patient market. The greater the size of the "private pay" market relative to the Medicaid market, the higher is quality. We find that Medicaid policy makers face a trade-off between the access of Medicaid patients to care and quality. Specifically, an increase in the Medicaid reimbursement rate causes nursing homes to reduce quality, increase"private pay" price, and to admit more Medicaid patients and fewer "private pay" patients. Hence, in the nursing home industry, higher prices are associated with lower levels of quality. In addition, nursing homes set quality higher if the remibursement rate is set via "cost plus" pricing than if it is set via "flat rate" pricing. Moreover, consumers in both markets are better off under "cost plus" pricing, nursing homes earn higher profits under "flat rate" pricing, and total governmental Medicaid expenditures are the same under both reimbursement methods
Author: Paul L. Grimaldi
Publisher: A E I Press
ISBN:
Category : Health & Fitness
Languages : en
Pages : 216
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Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132746
Category : Medical
Languages : en
Pages : 344
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Book Description
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Author: John Arthur Nyman
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 392
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Author:
Publisher:
ISBN:
Category : Dissertations, Academic
Languages : en
Pages : 854
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Author:
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 70
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Book Description
