Analyses for the Initial Implementation of the Inpatient Rehabilitation Facility Prospective Payment System

In the Balanced Budget Act of 1997, Congress mandated that Health Care Financing Administration (HCFA) implement a Prospective Payment System (PPS) for inpatient rehabilitation. The Centers for Medicare and Medicaid Services (CMS, the successor agency to HCFA) issued the final rule governing such a...

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Bibliographic Details
Main Author: Carter, Grace M. (auth)
Other Authors: Buntin, Melinda Beeuwkes (auth), Hayden, Orla (auth), Paddock, Susan M. (auth), Relles, Daniel A. (auth)
Format: Electronic Book Chapter
Language:English
Published: RAND Corporation 2002
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Summary:In the Balanced Budget Act of 1997, Congress mandated that Health Care Financing Administration (HCFA) implement a Prospective Payment System (PPS) for inpatient rehabilitation. The Centers for Medicare and Medicaid Services (CMS, the successor agency to HCFA) issued the final rule governing such a PPS on August 7, 2001 and the system went into effect on January 1, 2002. This report details the analyses that RAND performed to support HCFA's efforts to design, develop, and implement the PPS. It describes RAND's research on new function-related groups, comorbidities, unusual cases, facility-level adjustments, outlier payments, facility-level adjustments, and assessment instruments. In addition, it presents RAND's recommendations concerning the payment system and discusses the researchers' plans for further research on the monitoring and refinement of the PPS.
ISBN:MR1500CMS
9780833056634
9780833031488
Access:Open Access