The long-term care marketplace: an analysis of deficiencies and potential reform by means of incentive reimbursement.
This study analyzes the institutional, economic, and regulatory deficiencies of the long-term care sector of the health industry and develops an incentive reimbursement model as a means for correcting or ameliorating some of the stated deficiencies. The reimbursement model presents a schema which attempts to match patients to facilities, needs to services, and services to cost. A capital expansion coupon program is proposed, both as a suitable vehicle for channeling incentive rewards accruing to nonprofit institutions, and as a mechanism for subsidizing the approved expansion and/or renovation plans of "efficient" providers of care.
D003256:Community Participation; D003365:Costs and Cost Analysis; D005381:Financing, Organized; D006268:Health Facilities / Q000592:standards*; D006275:Health Facility Planning; D006760:Hospitalization; D006801:Humans; D008134:Long-Term Care / Q000592:standards*; D009042:Motivation; D009735:Nursing Homes / Q000592:standards; D009935:Organizational Affiliation; D010067:Ownership; D010347:Patient Care Planning; D010820:Physicians / Q000706:statistics & numerical data; D011383:Progressive Patient Care; D011787:Quality of Health Care; D012111:Residence Characteristics; D012926:Social Control, Formal; D014481:United States