Hospital-Based and Freestanding Skilled Nursing Facilities: Any Cause for Differential Medicare Payments?
Differential Medicare payments for hospital-based and freestanding skilled nursing facilities (SNFs) were eliminated by the SNF prospective payment system initiated in 1998. Closures and high negative margins of hospital-based facilities have prompted consideration of the need to revisit payment adj...
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Format: | Book |
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SAGE Publishing,
2003-02-01T00:00:00Z.
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Summary: | Differential Medicare payments for hospital-based and freestanding skilled nursing facilities (SNFs) were eliminated by the SNF prospective payment system initiated in 1998. Closures and high negative margins of hospital-based facilities have prompted consideration of the need to revisit payment adjustments for this group of SNFs. We examine case mix-related and other factors behind the cost differences between hospital-based and freestanding SNFs. Some payment adjustment, notably for nontherapy ancillary services, may be reasonable for the short term. |
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Item Description: | 0046-9580 10.5034/inquiryjrnl_40.1.94 |