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Related Experiment Videos

Estimating patient-level nursing home costs.

R E Schlenker, P W Shaughnessy, I Yslas

    Health Services Research
    |April 1, 1985
    PubMed
    Summary

    This study introduces a new method to estimate individual nursing home patient costs. This approach can help link payments to patient care needs, improving fairness and access for high-cost patients.

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    Area of Science:

    • Health Economics
    • Nursing Home Administration
    • Healthcare Management

    Background:

    • Nursing home cost data are typically aggregated, lacking patient-level detail.
    • Existing Medicare and Medicaid cost reports provide only average patient-day costs.
    • Accurate patient-level cost data are crucial for equitable payment systems.

    Purpose of the Study:

    • To develop and present a methodology for estimating patient-level nursing home costs.
    • To measure the variable cost of nursing staff care for individual patients.
    • To inform potential reforms in nursing home payment structures.

    Main Methods:

    • Developed a "resource consumption" (RC) methodology.
    • Applied the RC methodology to data from 74 Colorado nursing homes.
    • Utilized data from a sample of 961 nursing home patients collected in 1980.

    Main Results:

    • The methodology yields "resource consumption" (RC) measures for individual patient nursing staff costs.
    • Demonstrated the application of the RC methodology using real-world nursing home data.
    • Provided estimates of variable costs for nursing staff care at the patient level.

    Conclusions:

    • The developed methodology can estimate patient-level nursing home costs.
    • This approach can facilitate linking nursing home payments to individual patient care needs.
    • Improved payment equity and reduced access barriers for high-cost patients are potential outcomes.

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