Site-neutral payment for postacute care: framing the issue.
Citation: Archives of Physical Medicine & Rehabilitation. 95(6):1212-6, 2014 Jun.PMID: 24607836Institution: MedStar National Rehabilitation NetworkForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Disabled Persons/rh [Rehabilitation] | *Medicare/ec [Economics] | *Prospective Payment System/ec [Economics] | *Subacute Care/ec [Economics] | Female | Health Policy/ec [Economics] | Health Services Needs and Demand | Humans | Long-Term Care/ec [Economics] | Male | Policy Making | Prospective Payment System/lj [Legislation & Jurisprudence] | Rehabilitation Centers/ec [Economics] | Skilled Nursing Facilities/ec [Economics] | United StatesLocal holdings: Available online from MWHC library: 2000 - present, Available in print through MWHC library:1999-2007ISSN:- 0003-9993
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | Available | 24607836 |
Available online from MWHC library: 2000 - present, Available in print through MWHC library:1999-2007
This commentary evaluates the merits of proposals in the United States to create a site-neutral payment system for postacute care for patients with select rehabilitation-related conditions. Under a site-neutral payment system, Medicare would pay providers based on patients' clinical needs, not on the peculiarities of individual postacute settings such as skilled nursing facilities and inpatient rehabilitation facilities. This commentary frames the policy choices by taking into account the research evidence on setting costs and outcomes, the policy tools and preconditions needed for an effective site-neutral payment system, and the overall direction of American health and postacute policy. Copyright 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
English