Analyses for the Initial Implementation of the Inpatient Rehabilitation Facility Prospective Payment System

Cover: Analyses for the Initial Implementation of the Inpatient Rehabilitation Facility Prospective Payment System

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.

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Paperback, 360 Pages
Year:
2002
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Document Details

  • Availability: Available
  • Format: Paperback
  • Pages: 360
  • List Price: $30.00
  • Price: $24.00
  • ISBN/EAN: 0-8330-3148-1
  • Document Number: MR-1500-CMS
  • Year: 2002
  • Series: Monograph Reports

Contents

  • Preface PDF

  • Figures PDF

  • Tables PDF

  • Acknowledgements

    Acknowledgments PDF

  • Members of Technical Expert Panel PDF

  • Acronyms PDF

  • Chapter One

    Introduction PDF

  • Chapter Two

    Data and Methods PDF

  • Chapter Three

    Case Classification System PDF

  • Chapter Four

    Comorbidities PDF

  • Chapter Five

    Unusual Cases PDF

  • Chapter Six

    Relative Case Weights PDF

  • Chapter Seven

    Facility-Level Adjustments PDF

  • Chapter Eight

    Outliers PDF

  • Chapter Nine

    Conversion Factor PDF

  • Chapter Ten

    Developing a Monitoring Plan and System for the IRF PPS PDF

  • References PDF

The research described in this report was performed under the auspices of RAND Health.

This report is part of the RAND Corporation monograph report series. The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.