Interim Report on an Inpatient Rehabilitation Facility Prospective Payment System

by Grace M. Carter, Daniel A. Relles, Barbara O. Wynn, Jennifer H. Kawata, Susan M. Paddock, Neeraj Sood, Mark E. Totten

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In the Balanced Budget Act of 1997, Congress mandated that the Health Care Financing Administration (HCFA) implement a Prospective Payment System (PPS) for inpatient rehabilitation. This interim report describes the research that RAND performed to support HCFA's initial efforts to design and develop such a PPS. It also discusses our plans for further research on the implementation, monitoring, and refinement of such an Inpatient Rehabilitation Facility RPS (IRF PPS).

Table of Contents

  • Preface

  • Figures

  • Tables

  • Summary

  • Acknowledgements

    Acknowledgments

  • Chapter One

    Introduction

  • Chapter Two

    Data and Methods

  • Chapter Three

    Case Classification System

  • Chapter Four

    Unusual Cases

  • Chapter Five

    Relative Case Weights

  • Chapter Six

    Facility Level Adjustments

  • Chapter Seven

    Outliers and Simulations

  • Chapter Eight

    Future Research

  • Appendix A

    Appendix A

  • Appendix B

    Appendix B

  • References

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