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Abstract In a sample of 189 nursing homes, 83% reported that Medicare's hospital Prospective Payment System (PPS) impacts patient needs, 53% said it impacts both patients and services provided, and 25% said it impacts referrals to hospitals. The PPS effects were found to depend on the facility factors of size, Medicare certification, and tax status, and on the local market area factors of prevalence of PPS-nonexcluded hospital psychiatric units, competition, and levels of hospital discharges. Skilled nursing facilities, Intermediate care facilities, Diagnostic related groups This content is only available as a PDF. Author notes 1 We thank Carroll L. Estes for her advice and support in the preparation of this paper. This research was supported by grants from the Pew Memorial Trust, the Robert Wood Johnson Foundation, and the Fred Meyer Charitable Trust. The interpretations and conclusions are those of the authors and do not necessarily reflect those of the funding sources. © 1990 The Gerontological Society of America
The Gerontologist – Oxford University Press
Published: Jun 1, 1990
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