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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Bibliographic Details
Main Authors: Korbin Liu (Author), Kirsten J. Black (Author)
Format: Book
Published: 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.
Item Description:0046-9580
10.5034/inquiryjrnl_40.1.94