Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Measuring function for Medicare inpatient rehabilitation payment.

Grace M Carter1, Daniel A Relles, Gregory K Ridgeway

  • 1grace_carter@rand.org

Health Care Financing Review
|August 5, 2003
PubMed
Summary

Functional independence in inpatient rehabilitation facilities (IRFs) generally lowers costs for Medicare patients. However, anomalies in two functional items require further investigation for payment policy adjustments under the IRF prospective payment system (PPS).

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Increased risk of non-fatal myocardial infarction following testosterone therapy prescription in men.

PloS one·2014
Same author

Neighborhood design and walking trips in ten U.S. metropolitan areas.

American journal of preventive medicine·2007
Same author

Identifying and accommodating statistical outliers when setting prospective payment rates for inpatient rehabilitation facilities.

Health services research·2004
Same author

Medicare calibration of the clinically detailed risk information system for cost.

Health care financing review·2004

Area of Science:

  • Health Services Research
  • Rehabilitation Medicine
  • Health Economics

Background:

  • Medicare discharges from inpatient rehabilitation facilities (IRFs) represent a significant healthcare expenditure.
  • Understanding the relationship between patient function and cost is crucial for effective payment systems.
  • The implementation of a prospective payment system (PPS) necessitates accurate cost allocation based on patient characteristics.

Purpose of the Study:

  • To examine the association between functional status items and scales and accounting costs in IRFs.
  • To identify functional items that deviate from the expected cost-benefit relationship.
  • To inform payment policy under the new IRF PPS by analyzing cost drivers.

Main Methods:

  • Analysis of 186,766 Medicare discharge records from 694 IRFs in 1999.

Related Experiment Videos

  • Application of statistical models to assess the correlation between functional items/scales and accounting costs.
  • Categorization of data within specific impairment groups to refine cost analysis.

    • Main Results:

    • Increased patient independence was generally associated with lower accounting costs across most functional items.
    • Two specific functional items demonstrated an unexpected relationship with costs, deviating from the general trend.
    • The study identified anomalies that have implications for the design and fairness of payment policies.

    Conclusions:

    • Functional status is a key determinant of costs in IRFs, with greater independence typically reducing expenses.
    • Anomalies in specific functional items necessitate a review of their impact on the IRF PPS.
    • The findings support the development of resource use groups that balance administrative simplicity, cost, access, and quality of care.