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Inquiry. 2003 Spring;40(1):94-104.

Hospital-based and freestanding skilled nursing facilities: any cause for differential Medicare payments?

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1
Urban Institute, Washington, DC 20037, USA.

Abstract

Differential Medicare payments for hospital-based and freestanding skilled nursing facilities (SNFs) were eliminated by the SNF prospective payment system initiated in 1998. Closures and high negative margins of hospital-based facilities have prompted consideration of the need to revisit payment adjustments for this group of SNFs. We examine case mix-related and other factors behind the cost differences between hospital-based and freestanding SNFs. Some payment adjustment, notably for nontherapy ancillary services, may be reasonable for the short term.

PMID:
12836911
DOI:
10.5034/inquiryjrnl_40.1.94
[Indexed for MEDLINE]
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