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

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

Published 2002

by Grace M. Carter, Joan L. Buchanan, Melinda Beeuwkes Buntin, Orla Hayden, Jennifer H. Kawata, Susan M. Paddock, Daniel A. Relles, Greg Ridgeway, Mark E. Totten, Barbara O. Wynn

Download

Download eBook for Free

FormatFile SizeNotes
PDF file 0.2 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Purchase

Purchase Print Copy

 Format Price
Add to Cart Paperback38 pages $12.00

In the Balanced Budget Act of 1997, Congress mandated that Health CareFinancing 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 aPPS on August 7, 2001. This report summarizes the research that RANDperformed to support HCFA's efforts to design, develop, and implement thePPS. 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, itpresents recommendations concerning the payment system and discusses theresearchers' plans for further research on the monitoring and refinement ofthe PPS.

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

This report is part of the RAND monograph report series. The monograph/report was a product of RAND 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.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.

RAND 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.