Centre for Policy on Ageing



Reinventing long-term care — the effect of policy changes on trends in nursing home reimbursement and resident characteristics - Florida, 1989-1997
Author(s)	Debra Street, Jill Quadagno, Lori Parham
Journal title	The Gerontologist, vol 43, special issue II, April 2003
Pages	pp 118-131
Keywords	Nursing homes ; Revenue [care] ; Policy ; Longitudinal surveys ; United States of America.
Annotation	The way in which changes in Medicare and Medicaid policies affected skilled nursing facility (SNF) revenue streams and resident characteristics in Florida during the 1990s is investigated. The authors used ordinary least squares (OLS) regression models to analyse state-provided administrative data and Online Survey Certification and Reporting (OSCAR) data for all Florida's SNFs. They found that Florida's SNFs responded differently to the growing gap in reimbursement between Medicaid and other payers, depending on their profit status. As the reimbursement gap grew, for-profit SNFs maximised their revenues by admitting fewer Medicaid paying residents, whereas non-profit facilities increased their percentage of Medicaid admissions. Changes in patterns of reimbursement altered the composition of Florida SNF residents in terms of age, physical status, length of stay, and place of discharge. (RH).
Accession Number	CPA-030611211 A
Classmark	LHB: QE: QAD: 3J: 7T
Data © Centre for Policy on Ageing

...from the Ageinfo database published by Centre for Policy on Ageing.