Increasing Consumer Involvement in Medicaid Nursing Facility Reimbursement: Lessons from New York and Minnesota
نویسندگان
چکیده
.................................................................................................................. iii EXECUTIVE SUMMARY ............................................................................................ v INTRODUCTION......................................................................................................... 1 BACKGROUND & SIGNIFICANCE .......................................................................... 2 METHODS .................................................................................................................... 5 CONSUMER PARTICIPATION & INFLUENCE .................................................... 7 WHY DO CONSUMER GROUPS NOT BECOME INVOLVED? ........................... 9 THE IMPORTANCE OF BEING “AT THE TABLE” .............................................. 11 PREREQUISITES FOR SUCCESSFUL CONSUMER PARTICIPATION ............ 13 MAJOR STRATEGIES FOR INFLUENCING REIMBURSEMENT ...................... 18 STATE LEGISLATORS & LEGISLATIVE STAFF ........................................... 19 STATE AGENCIES & AGENCY PERSONNEL ................................................. 22 TASKFORCES & WORKGROUPS .................................................................... 26 SUPPLEMENTS TO HIGHER LEVEL PARTICIPATION .................................... 30 GRASSROOTS STRATEGIES ............................................................................ 31 DEVELOPING COALITIONS WITH OTHER GROUPS ................................ 34 TOWARD INCREASED CONSUMER INVOLVEMENT ....................................... 40 REFERENCES ............................................................................................................... 43
منابع مشابه
Engaging consumers in medicaid nursing home reimbursement policy: lessons from New York and Minnesota.
PURPOSE OF THE STUDY This study draws lessons for successful consumer engagement in Medicaid nursing home (NH) reimbursement policy from New York and Minnesota. In these two states, resident advocates have influenced reimbursement policy to better encourage access, care quality, and quality of life. DESIGN AND METHODS Twenty-four semi-structured interviews were conducted, including consumer a...
متن کاملMinnesota Office of the Legisl Ative Auditor
As our nation’s population ages, an increasing number of Americans will need some type of long-term care services. While more attention is being focused on the development of alternatives to nursing home care, most public and private spending still pays for institutional care in nursing homes. Minnesota spent over $800 million in Medicaid funds on nursing homes in 1995; the federal government f...
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State Medicaid reimbursement methods and rates are reported for the period 1978-86 for skilled nursing and intermediate care facilities. A cross-sectional time series regression analysis of Medicaid reimbursement rates on methods showed that States using prospective class reimbursement had significantly lower rates for the period 1982-86. States using prospective facility-specific reimbursement...
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As we discussed in Chapter 1, the federal government gives each state flexibility in establishing its own Medicaid reimbursement methods and rates for nursing home services. While the five states examined all use prospective, facility-specific reimbursement methods, the way each state has designed its reimbursement system varies significantly. The combination of historical, facilityspecific cos...
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Reductions in provider reimbursement rates for Medicare and Medicaid beneficiaries are frequently used to contain public health care spending both at the national and the state level. However, reimbursement cuts also lower the profitability of providing services to beneficiaries, which may lead providers to cut back on doctors, nurses, and other key inputs for the production of health care qual...
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