1. In 1997, Medicare established its prospective payment system for nursing homes. A key component of...

60.1K

Verified Solution

Question

Biology

1. In 1997, Medicare established its prospective payment systemfor nursing homes. A key component of this payment system is thefacility's case mix. Please define what Medicare means by thisconcept, and how case mix is determined.
2. How is patient assessment used to determine Medicare case mixin a skilled nursing facility, who does this assessment, and whatis the assessment called? What are the new parts of thisAssessment, and what is the payment mechanism that is determined bythe results of this assessment.
3. How will Medicare value-based purchasing impact payments toMedicare certified nursing homes in the future?

Answer & Explanation Solved by verified expert

4.0 Ratings (729 Votes)

a A concept of Medicare casemix index that reflects the costliness of hospitals medicare patient mix Here the costs are based on the diagnosis related in which the patient is classified and the weight that Medicare has applied to each diagnosisrelated group that reflect the patients relative cost In some cases the medicare patients to whom the payment was made under the prospective See Answer

Get Answers to Unlimited Questions

Join us to gain access to millions of questions and expert answers. Enjoy exclusive benefits tailored just for you!

Membership Benefits:

Unlimited Question Access with detailed Answers
Zin AI - 3 Million Words
10 Dall-E 3 Images
20 Plot Generations
Conversation with Dialogue Memory
No Ads, Ever!
Access to Our Best AI Platform: Flex AI - Your personal assistant for all your inquiries!

Become a Member