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  1. Fulltext. State-imposed limits on medicaid reimbursement for nursing facility care.

    Article - En anglais

    Fulltext.

    Objectives

    Nursing cost-center limits were examined, along with their effects on Medicaid.

    Methods

    A national survey of Medicaid nursing facility reimbursement provided data on cost centers for nursing, administrations and capital, whether in specific, larger, or multiple cost centers.

    Results 

    Most states impose nursing and administration limits.

    Far fewer states imposes capital limits, but only capital limits may be related to constraint of reimbursement rates.

    Conclusions

    Shifting toward limiting capital costs, or simply eliminating cost-center limits, might accommodate cost control while removing negative constraints on direct resident care.

    Mots-clés Pascal : Protection sociale, Assurance maladie, Soin, Infirmier, Contrôle coût, Qualité, Homme, Système santé, Politique sanitaire, Etats Unis, Amérique du Nord, Amérique, Etude comparative, Economie santé, Remboursement, Medicaid

    Mots-clés Pascal anglais : Welfare aids, Health insurance, Care, Nurse, Cost control, Quality, Human, Health system, Health policy, United States, North America, America, Comparative study, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0447563

    Code Inist : 002B30A01B. Création : 03/02/1998.