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Title Analyses for the initial implementation of the inpatient rehabilitation facility prospective payment system / Grace M. Carter [and others].

Publication Info. Santa Monica, CA : RAND, 2002.

Item Status

Description 1 online resource (xxii, 338 pages) : illustrations
text file PDF
Physical Medium polychrome
Note "RAND Health."
Bibliography Includes bibliographical references (pages 335-338).
Contents Introduction -- Data and Methods -- Case Classification System -- Comorbidities -- Unusual Cases -- Relative Case Weights -- Facility-Level Adjustments -- Outliers -- Conversion Factor -- Developing a Monitoring Plan and System for the IRF PPS.
Summary In the Balanced Budget Act of 1997, Congress mandated that Health Care Financing Administration (HCFA) implement a Prospective Payment System (PPS) for inpatient rehabilitation. The Centers for Medicare and Medicaid Services (CMS, the successor agency to HCFA) issued the final rule governing such a PPS on August 7, 2001 and the system went into effect on January 1, 2002. This report details the analyses that RAND performed to support HCFA's efforts to design, develop, and implement the PPS. It describes RAND's research on new function-related groups, comorbidities, unusual cases, facility-level adjustments, outlier payments, facility-level adjustments, and assessment instruments. In addition, it presents RAND's recommendations concerning the payment system and discusses the researchers' plans for further research on the monitoring and refinement of the PPS.
Local Note JSTOR Books at JSTOR Open Access
Subject Hospitals -- Rehabilitation services -- Prospective payment -- United States.
Hospitals -- Rehabilitation services -- Prospective payment.
United States.
Genre/Form Electronic books.
Electronic books.
Added Author Carter, Grace M.
Buntin, Melinda J. Beeuwkes.
Hayden, Orla.
Kawata, Jennifer H., 1955-
Paddock, Susan M.
Relles, Daniel A.
Ridgeway, Greg, 1973-
Totten, Mark, 1969-
Wynn, Barbara O.
Rand Corporation.
RAND Health.
Centers for Medicare & Medicaid Services (U.S.)
ISBN 9780833056634 (electronic book)
0833056638 (electronic book)
0833031481
9780833031488
Report No. RAND/MR-1500-CMS