Charges and Outcomes for Rehabilitative Care

Implications for the Prospective Payment System

by Susan D. Hosek, Robert L. Kane, Maureen F. Carney, Janice Hartman, David Reboussin, Carl Serrato, John Melvin

Download

Download eBook for Free

FormatFile SizeNotes
PDF file 3.8 MB

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

Purchase

Purchase Print Copy

 FormatList Price Price
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.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

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.