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


  • Chapter One


  • 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

This report is part of the RAND Corporation Draft series. The unrestricted draft was a product of the RAND Corporation from 1993 to 2003 that represented preliminary or prepublication versions of other more formal RAND products for distribution to appropriate external audiences. The draft could be considered similar to an academic discussion paper. Although unrestricted drafts had been approved for circulation, they were not usually formally edited or peer reviewed.

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