The Medicare Catastrophic Coverage Act (MCCA) of 1988 altered eligibility and coverage for skilled nursing facility (SNF) care and changed Medicaid eligibility rules for nursing-home residents.
Detailed data on the residents of for-profit nursing-home chain and Medicare claims for a 1 percent sample of beneficiaries were used to examine the impact of the MCCA on nursing homes.
The case mix of nursing-home admissions was scrutinized, specifically for length of stay, discharge disposition, rate of hospitalization, and changes in payer source.
Findings revealed that, although the proportion of Medicare-financed nursing-home care increased, as did the case-mix severity of residents during the MCCA period, there was no corollary reduction in hospital use by nursing-home residents.
Mots-clés Pascal : Long séjour, Etablissement troisième âge, Vieillard, Homme, Qualité, Soin intégré, Législation, Evaluation, Assurance maladie, Diminution coût, Protection sociale, Etats Unis, Amérique du Nord, Amérique, Réforme, Medicare
Mots-clés Pascal anglais : Long stay, Homes for the aged, Elderly, Human, Quality, Managed care, Legislation, Evaluation, Health insurance, Cost lowering, Welfare aids, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0349208
Code Inist : 002B30A09. Création : 12/09/1997.