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Changes in Medicare skilled nursing facility benefit admissions.

L C Dubay1

  • 1Urban Institute, Washington, DC 20037.

Health Care Financing Review
|December 5, 1990
PubMed
Summary

Skilled nursing facility (SNF) admissions rose 21% from 1983-1985 after Medicare

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Area of Science:

  • Health Services Research
  • Gerontology
  • Public Health Policy

Background:

  • Medicare's Prospective Payment System (PPS) implementation in 1983.
  • Changes in skilled nursing facility (SNF) benefit admissions between 1983 and 1985.

Purpose of the Study:

  • Analyze factors influencing SNF access changes post-PPS.
  • Examine national trends in SNF benefit utilization.

Main Methods:

  • Multivariate analysis of SNF admissions data.
  • Examination of hospital length of stay and discharge data.
  • Assessment of Medicaid reimbursement policy impacts.

Main Results:

  • National SNF benefit admissions increased by 21% from 1983-1985.
  • Increased SNF admissions negatively correlated with hospital length of stay.
  • Decreased SNF admissions negatively correlated with hospital discharges.
  • Medicaid reimbursement policies influenced SNF utilization changes.

Conclusions:

  • Hospital factors and Medicaid policies significantly impacted SNF access post-PPS.
  • Understanding these factors is crucial for healthcare policy and resource allocation.
  • Further research needed to explore long-term effects and optimal SNF utilization strategies.

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