Author: United States. General Accounting OfficePublisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 52
Book Description
Medicaid
Author: United States. General Accounting OfficePublisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 52
Book Description
Improving the Quality of Long-Term Care
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309132746
Category : Medical
Languages : en
Pages : 344
Book Description
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Medicaid: Methods for Setting Nursing Home Rates Should be Improved
Author: GENERAL ACCOUNTING OFFICE WASHINGTON DC HUMAN RESOURCES DIV.Publisher:
ISBN:
Category :
Languages : en
Pages : 48
Book Description
As a result of the Omnibus Reconciliation Act of 1980, states are required to give assurances to HHS' Health Care Financing Administration (HCFA) that their payment rates are reasonable and adequate to meet the costs incurred by efficiencly and economically operated nursing homes to provide care in conformity with applicable state and federal laws, regulations, and quality and safety standards. How effective have states been in establishing prospective payment systems that provide nursing homes an incentive to reduce costs without adversely affecting quality of care? In our review, we identified weaknesses in each phase of the rate-setting process described above. These weaknesses meant that HCFA lacked adequate assurances that the states' reimbursements rates were reasonable and adequate to meet the costs incurred by efficiently and economically operated nursing homes.
Medicaid
Author: United States. General Accounting OfficePublisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 47
Book Description
Medicaid Nursing Home Reimbursement Policies, Rates, and Expenditures
Author: Charlene HarringtonPublisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 12
Book Description
Report to the Congress: Problems in Providing Guidance to States in Establishing Rates of Payment for Nursing Home Care Under the Medicaid Program
Author: United States. General Accounting OfficePublisher:
ISBN:
Category :
Languages : en
Pages : 52
Book Description
Medicaid nursing home payments states' payment rates largely unaffected by recent fiscal pressures.
Author: Publisher: DIANE Publishing
ISBN: 1428942327
Category :
Languages : en
Pages : 58
Book Description
Nursing Staff in Hospitals and Nursing Homes
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309175704
Category : Medical
Languages : en
Pages : 558
Book Description
Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
Compendium of HHS Evaluations and Relevant Other Studies
Author: HHS Policy Information Center (U.S.)Publisher:
ISBN:
Category : Human services
Languages : en
Pages : 1494
Book Description
Regulated Price Discrimination and Quality
Author: Paul J. GertlerPublisher:
ISBN:
Category : Federal aid to nursing homes
Languages : en
Pages : 21
Book Description
Nursing homes participate simultaneously in a regulated and an unregulated market, and are required to supply the same quality of service to both markets. Specifically, nursing homes compete for patients who finance their care privately, and patients whose care is financed by the government's Medicaid program. The government reimburses nursing homes a set fee for the care of Medicaid patients, whereas nursing homes charge "private pay" patients what the market will bear. Quality is determined by competition in the"private pay" patient market. The greater the size of the "private pay" market relative to the Medicaid market, the higher is quality. We find that Medicaid policy makers face a trade-off between the access of Medicaid patients to care and quality. Specifically, an increase in the Medicaid reimbursement rate causes nursing homes to reduce quality, increase"private pay" price, and to admit more Medicaid patients and fewer "private pay" patients. Hence, in the nursing home industry, higher prices are associated with lower levels of quality. In addition, nursing homes set quality higher if the remibursement rate is set via "cost plus" pricing than if it is set via "flat rate" pricing. Moreover, consumers in both markets are better off under "cost plus" pricing, nursing homes earn higher profits under "flat rate" pricing, and total governmental Medicaid expenditures are the same under both reimbursement methods