Charges and Outcomes for Rehabilitative Care
Implications for the Prospective Payment System
Download eBook for Free
|PDF file||3.7 MB||
Use Adobe Acrobat Reader version 10 or higher for the best experience.
Purchase Print Copy
|Add to Cart||Paperback88 pages||$25.00||$20.00 20% Web Discount|
When Congress directed that Medicare develop a prospective payment system for acute hospital care in 1983, rehabilitation hospitals were exempted. The exemption arose from a concern that the patient classification system and payment approach developed for acute care hospitals would be inappropriate for inpatient rehabilitative care. Rehabilitative care emphasizes the treatment of functional limitation and disabilities, and it usually follows a period of acute or surgical care. In contrast, acute hospital care emphasizes the stabilization of the acute problem. Consequently, one issue concerns the desirability of basing payment for rehabilitative care on diagnosis instead of some measure of functional status. A more fundamental issue is whether a separate payment system for rehabilitation is desirable given that rehabilitation typically follows acute hospital care. A major purpose of this report is to evaluate the hypothesis that functional status, rather than diagnosis, determines the costs of a rehabilitative stay and to identify other sources of differences in costs.
This report is part of the RAND Corporation Report series. The report was a product of the RAND Corporation from 1948 to 1993 that represented the principal publication documenting and transmitting RAND's major research findings and final research.
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.
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.