title: Medicare prospective payment--the ethical implications of converging clinical and financial decisions in long-term care.
abstract: The principles of bioethics indicate that Prospective Payment has a moral dimension. Because Prospective Payment unifies clinical and financial decisions, it poses problems for long-term care facilities, especially those motivated by a humanitarian mission rather than financial considerations. This article outlines how Prospective Payment conflicts with the ethical principles of respect for persons, autonomy, justice, promise keeping, and fidelity.
authors.forename: D F
authors.initials: DF
authors.lastname: Reynolds
mesh_terms: D002204:Capitation Fee; D005380:Financing, Government; D006801:Humans; D008134:Long-Term Care / Q000191:economics; D006278:Medicare; D009735:Nursing Homes / Q000191:economics; D011203:Poverty; D028662:Principle-Based Ethics; D011445:Prospective Payment System; D012720:Severity of Illness Index; D012935:Social Justice; D014481:United States