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

MedStar author(s):
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
Name of journal: Archives of physical medicine and rehabilitationAbstract: 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.All authors: DeJong GDigital Object Identifier: Date added to catalog: 2014-08-21
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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.

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