Nursing Home Reimbursement: Implications for Cost Containment, Access, and Quality
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TL;DR
The individual states have many options in designing Medicaid reimbursement systems for nursing homes, and each option has a differential effect on incentives--and outcomes--for containing costs, providing quality care, and maintaining access to care.
Abstract
The individual states have many options in designing Medicaid reimbursement systems for nursing homes. Each option has a differential effect on incentives--and outcomes--for containing costs, providing quality care, and maintaining access to care. The mix and consequences of specific choices are analyzed in a framework that disaggregates costs into three components. Tradeoffs among competing elements will be inevitable, but reimbursement policy can maximize both efficiency and equity.