title: The state-of-the-science: challenges in designing postacute care payment policy.
abstract: This report describes Medicare's postacute care (PAC) payment systems and their incentives, as well as global changes in capacity, quality, and utilization over time. It assesses the payment systems' impact on PAC services, referencing relevant works in progress. Suggestions are made for future research.
authors.affiliation: Rehabilitation Medicine Department, National Institutes of Health, Bethesda, MD.
authors.forename: Leighton
authors.initials: L
authors.lastname: Chan
mesh_terms: D000368:Aged; D002017:Budgets; D003362:Cost-Benefit Analysis; D005544:Forecasting; D015276:Health Care Rationing / Q000191:economics; D006291:Health Policy / Q000191:economics; D006297:Health Services Accessibility / Q000191:economics; D006699:Home Care Services / Q000191:economics; D006801:Humans; D007902:Length of Stay / Q000191:economics; D008134:Long-Term Care / Q000191:economics; D006278:Medicare / Q000191:economics*; D010043:Outcome and Process Assessment, Health Care; D011445:Prospective Payment System / Q000191:economics*; D012046:Rehabilitation / Q000191:economics*; D012047:Rehabilitation Centers / Q000191:economics; D012052:Reimbursement, Incentive / Q000191:economics; D012866:Skilled Nursing Facilities / Q000191:economics; D019467:Subacute Care / Q000191:economics*; D014481:United States