Nursing home reimbursement: implications for cost containment, access, and quality.
The individual states have many options in designing Medicaid reimbursement systems for nursing homes. Each option has a differential effect on incentives--and outcomes--for containing costs, providing quality care, and maintaining access to care. The mix and consequences of specific choices are analyzed in a framework that disaggregates costs into three components. Tradeoffs among competing elements will be inevitable, but reimbursement policy can maximize both efficiency and equity.
Holahan
J
J
Cohen
J
J
D003363:Cost Control; D006297:Health Services Accessibility / Q000191:economics; D008484:Medicaid / Q000191:economics*; D009735:Nursing Homes / Q000191:economics* / Q000592:standards; D011787:Quality of Health Care / Q000191:economics; D012051:Reimbursement Mechanisms; D014481:United States