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State-imposed limits on Medicaid reimbursement for nursing facility care

J.H. Swan, C. Harrington, S.K. De Wit and M. Zhong

American Journal of Public Health, 1997, vol. 87, issue 7, 1211-1213

Abstract: Objectives: Nursing cost-center limits were examined, along with their effects on Medicaid. Methods: A national survey of Medicaid nursing facility reimbursement provided data on cost centers for nursing, administration, and capital, whether in specific, larger, or multiple cost centers. Results: Most states impose nursing and administration limits. Far fewer states impose capital limits, but only capital limits may be related to constraint of reimbursement rates. Conclusions: Shifting toward limiting capital costs, or simply eliminating cost-center limits, might accommodate cost control while removing negative constraints on direct resident care.

Date: 1997
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