Normal view MARC view ISBD view

Site-neutral payment for postacute care: framing the issue.

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

ISSN: 0003-9993

Subjects--Topical Terms:
*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 States

Subjects--Geographic Terms:
MedStar National Rehabilitation Network

Index Terms--Function:
Journal Article