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Swing-bed services under the Medicare program, 1984-87.

H A Silverman1

  • 1Health Care Financing Administration, Baltimore, MD 21207.

Health Care Financing Review
|January 4, 1991
PubMed
Summary
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The Medicare swing-bed program allows small rural hospitals to provide acute and post-acute care. This program experienced rapid growth, becoming a significant source of skilled nursing facility services by 1987.

Area of Science:

  • Healthcare Policy
  • Rural Health Services
  • Geriatric Care

Background:

  • The Omnibus Reconciliation Act of 1980 established the Medicare swing-bed program.
  • Swing beds enable small rural hospitals to offer both acute and post-acute care services.
  • This program provides post-acute care equivalent to skilled nursing facility (SNF) services under Medicare.

Purpose of the Study:

  • To analyze the growth and utilization of the Medicare swing-bed program.
  • To understand the role of swing beds in providing post-acute care in rural hospitals.

Main Methods:

  • Analysis of Medicare utilization data.
  • Examination of program growth trends and financial impact.

Main Results:

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  • The swing-bed program demonstrated rapid growth since its inception.
  • By 1987, swing beds represented 9.7% of SNF admissions, 6.0% of covered days, and 6.2% of reimbursements.
  • Over half of all swing-bed services were provided in North Central states.

Conclusions:

  • The Medicare swing-bed program has become a vital component of post-acute care delivery in rural hospitals.
  • The program's significant utilization and financial contribution highlight its importance in supporting rural healthcare infrastructure.