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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Document Details
- Copyright: RAND Corporation
- 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.

