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State-imposed limits on Medicaid reimbursement for nursing facility care

Author

Listed:
  • Swan, J.H.
  • Harrington, C.
  • De Wit, S.K.
  • Zhong, M.

Abstract

Objectives: Nursing cost-center limits were examined, along with their effects on Medicaid. Methods: A national survey of Medicaid nursing facility reimbursement provided data on cost centers for nursing, administration, and capital, whether in specific, larger, or multiple cost centers. Results: Most states impose nursing and administration limits. Far fewer states impose capital limits, but only capital limits may be related to constraint of reimbursement rates. Conclusions: Shifting toward limiting capital costs, or simply eliminating cost-center limits, might accommodate cost control while removing negative constraints on direct resident care.

Suggested Citation

  • Swan, J.H. & Harrington, C. & De Wit, S.K. & Zhong, M., 1997. "State-imposed limits on Medicaid reimbursement for nursing facility care," American Journal of Public Health, American Public Health Association, vol. 87(7), pages 1211-1213.
    • Handle: RePEc:aph:ajpbhl:1997:87:7:1211-1213_5
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    Cited by:

    1. Edward Alan Miller, 2005. "State health policy making determinants, theory, and methods: A synthesis," Social Science & Medicine, Elsevier, vol. 61(12), pages 2639-2657, December.

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