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Modeling the Impact of Declining Occupancy on Nursing Home Reimbursement

06/25/2008 | Requests *

Summary

This paper models the effect of occupancy rates on nursing home reimbursement. It surveys nursing home methodologies generally and specifically models the rate setting systems of California, Indiana and Pennsylvania. The modeling indicates that much of “the fixed costs” would not get calculated back into the rates. The costs that do would be allocated across all resident days used in rate setting regardless of payer source, including Medicare and private pay, limiting the Medicaid impact.

Author

Wade, Kathryn; Hendrickson, Leslie

Available Files

Report Word (1,975K, 67 pages)
Report PDF (324K, 72 pages)

Keywords

Nursing Facility Transition; Medicaid; Expenditures; Real Choice Systems Change; nursing home reimbursement; nursing home occupancy; MFP; Occupancy Rates; rate-setting parameters; fixed costs;

Topic

Financing HCBS, Long-Term Care, Money Follows the Person, Olmstead

Type/Tool

Comparison Table, Matrix or Chart, Reports

Source

Rutgers/NASHP

State

California, Indiana, Minnesota, New Mexico, Pennsylvania, Wisconsin, All States/Territories

Date Created

06/25/2008

Contact

Leslie Hendrickson
55 Commercial Avenue, 3rd Floor
New Brunswick

lhendrickson@ifh.rutgers.edu
732-932-4670

Short URL

www.hcbs.org/moreInfo.php/doc/2288

Permission to use any element of this document should be obtained by the above named contact person. Always name the originator as the source of this material.

* Reflects requests since January 1, 2007

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