Centre for Policy on Ageing
 

 
Financing and payment issues in rural long-term care integration
Author(s)Paul Saucier, Julie Fralich
Journal titleJournal of Applied Gerontology, vol 20, no 4, December 2001
Pagespp 409-425
KeywordsHealth services ; Long term ; Coordination ; Finance [care] ; Charges ; Rural areas ; United States of America.
AnnotationA major concern with fee-for-service reimbursement in the US is that it forces consumers into predefined categories of service, whether or not those services meet their needs. The urban response to these incentives has been to experiment with capitated Medicare and Medicaid payments that integrate acute and long-term care funding. Although the use of capitation payments has conceptual and intuitive appeal, this article analyses whether it is feasible in rural areas. Integrated financing systems for rural areas must meet the specific goals of people served in the areas, and be compatible with local market conditions. Alternatives to fully capitated financing are emerging and represent more viable approaches for rural communities. (KJ/RH).
Accession NumberCPA-020319204 A
ClassmarkL: 4Q: QAJ: QC: QEJ: RL: 7T

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