PMID: 9184682Jan 1, 1997Paper

Impact of the Medicare Catastrophic Coverage Act on nursing homes

The Milbank Quarterly
L LaliberteJ Hiris

Abstract

The Medicare Catastrophic Coverage Act (MCCA) of 1988 altered eligibility and coverage for skilled nursing facility (SNF) care and changed Medicaid eligibility rules for nursing-home residents. Detailed data on the residents of a for-profit nursing-home chain and Medicare claims for a 1 percent sample of beneficiaries were used to examine the impact of the MCCA on nursing homes. The case mix of nursing-home admissions was scrutinized, specifically for length of stay, discharge disposition, rate of hospitalization, and changes in payer source. Findings revealed that, although the proportion of Medicare-financed nursing-home care increased, as did the case-mix severity of residents during the MCCA period, there was no corollary reduction in hospital use by nursing-home residents.

Citations

Jul 13, 2001·The American Journal of Medicine·S C MillerV Mor
Sep 11, 2003·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·T Shinoda-Tagawa, D E Clark
Aug 29, 2003·Journal of Health & Social Policy·James H Swan, Ruth B Pickard
Aug 1, 1997·Journal of the American Geriatrics Society·V MorJ Morris

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