Extending the Medicare prospective payment system to posthospital care: planning a demonstration
Rand, May 1, 1986 - Medical - 103 pages
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rv PAYMENT EPISODES IN AN EXTENDED PPS
SETTING PAYMENT RATES FOR
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accept Medicare patients access to posthospital add-on adjustment administrative approach areas average behavior benefits bursement calculated capital costs control sites cost-reporting costs of posthospital cover posthospital coverage current DRGs current Medicare policies current PPS days of SNF demonstration sites differences durable medical equipment efficient eligibility entire episode evaluation extended PPS fiscal intermediaries HCFA Health Care Financing HHA services HHA-inclusive home health services hospital and posthospital hospital discharge hospital PPS hospital responsibility hospital stay implementation incentive liability limit Medi Medicaid Medicare outlays Medicare program Medicare reimbursement ment monitoring period nursing home option outlier payment rates percent pital posthos posthospital costs posthospital HHA posthospital providers posthospital services problem prospective payment system providing posthospital receive reduce reim reimbursement rates skilled nursing facilities SNF and HHA SNF beds SNF days SNF reimbursement SNF services SNF-only swing beds tion total episode costs treat Medicare patients treatment period variations