Milbank Quarterly · 1987 · 44 citations · 0 references
Public AffairsHealth PolicyHealth Services AdministrationHealth Care FinancingHealthcare EconomicsHealthcare PolicyHealth Care CostsMedicaidReimbursement PolicyReimbursement RegulationValue-based CareValue-based PaymentHealthcare Reimbursement SystemsMedicaid Access To CareMedicaid Payment PolicyMedicaid Reimbursement PolicyNursing Care CostsNursing Home EconomicsNursing Home FinancingReimbursement Systems
The individual states have many options in designing Medicaid reimbursement systems for nursing homes. Each option has a differential effect on incentives--and outcomes--for containing costs, providing quality care, and maintaining access to care. The mix and consequences of specific choices are analyzed in a framework that disaggregates costs into three components. Tradeoffs among competing elements will be inevitable, but reimbursement policy can maximize both efficiency and equity.