Rehabilitation Services After the Implementation of the Nursing Home Prospective Payment System: Differences Related to Patient and Nursing Home Characteristics.

By | January 17, 2006

The amount of rehabilitation services, like physical therapy, given to patients, and the type of patient receiving these services in Ohio nursing homes was examined in an article in the November, 2005 issue of Medical Care by Center members Patrick Murray, MD, Thomas Love, PhD, Neal Dawson, MD, Charles Thomas, and Randall Cebul, MD. ÒRehabilitation services following the implementation of the nursing home prospective payment system: Differences related to patient and nursing home characteristics.Ó In 1998, the Medicare system of payment to nursing homes for patient services changed in an effort to reduce rapidly rising costs. The change in the payment system, called the Prospective Payment System (PPS) resulted in a 15% reduction in costs in the three years subsequent to its initiation. The researchers examined patient billing data and nursing home data for over 50,000 admissions from Ohio nursing homes to see how rehabilitation services changed. They found that despite the overall decrease costs for rehabilitations services, patients who were less likely to get rehabilitation services before PPS was implemented were more likely to receive these services after the payment change. They also found that those most likely to receive the services before the change still received them, but for fewer hours per week. The significance of this shift in services on patient outcomes needs further study. (posted 1/2006)ÒRehabilitation services following the implementation of the nursing home prospective payment system: Differences related to patient and nursing home characteristics.Ó, Patrick Murray, MD, Thomas Love, PhD, Neal V. Dawson, MD, Randall Cebul, MD

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