Medicaid nursing home payment and the role of provider taxes

被引:24
作者
Grabowski, David C. [1 ]
Feng, Zhanlian [2 ]
Intrator, Orna [2 ]
Mor, Vincent [2 ]
机构
[1] Harvard Univ, Sch Med, Cambridge, MA 02138 USA
[2] Brown Univ, Providence, RI 02912 USA
关键词
nursing homes; Medicaid; provider taxes; finance; long-term care;
D O I
10.1177/1077558708315968
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
In the context of recent state budget shortfalls and the repeal of the Boren Amendment, state Medicaid expenditures for nursing home care were considered a potential target for payment cuts. The authors examine this issue using data from a survey of state nursing home payment policies. Results indicate that aggregate inflation-adjusted Medicaid payment rates steadily increased through 2004, and this growth is partly attributable to the adoption of nursing home provider taxes in many states. A recent proposal to cap provider taxes, if enacted, may lead to a decrease in Medicaid payment rates for nursing home care.
引用
收藏
页码:514 / 527
页数:14
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