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Health Serv Manage Res. 2004 Feb;17(1):13-23.

Organizational and market factors associated with Medicare dependence in inpatient rehabilitation hospitals.

Author information

1
Health Services Administration Program, James Madison University, Harrisonburg, Virginia, USA. thompsonsjm@jmu.edu

Abstract

Rehabilitation hospitals in the USA have been excluded from the Medicare Prospective Payment System (PPS) system since 1982, and have received cost-based reimbursement. However, the 1997 Balanced Budget Act mandated a PPS for inpatient rehabilitation, to be implemented by the end of 2002. This study assesses rehabilitation hospitals' dependency on Medicare. Findings show that not-for-profit hospitals, facilities with fewer services, facilities with lower staffing levels, and hospitals with lower operating expenses and profits, have a higher proportion of their inpatient revenue coming from Medicare. These facilities may be vulnerable to the new PPS payment system.

PMID:
15006083
DOI:
10.1258/095148404322772697
[Indexed for MEDLINE]
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