Nursing Home Reimbursement: Implications for Cost Containment, Access, and Quality

The individual states have many options in designing Medicaid reimbursement systems for nursing homes. Each option has a differential effect on incentives-and outcomes-for containing costs, providing quality care, and maintaining access to care. The mix and consequences of specific choices are analyzed in a framework that disaggregates costs into three components. Tradeoffs among competing elements will be inevitable, but reimbursement policy can maximize both efficiency and equity.

Author(s): John Holahan; Joel Cohen

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Volume 65, Issue 1 (pages 112–147)
Published in 1987