HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Street, D. Articles by McDonald, S. Search for Related Content PubMed PubMed Citation Articles by Street, D. Articles by McDonald, S.

Reinventing Long-Term Care: The Effect of Policy Changes on Trends in Nursing Home Reimbursement and Resident Characteristics—Florida, 1989–1997

Correspondence: Address correspondence to Debra Street, Pepper Institute on Aging and Public Policy, Florida State University, Tallahassee, FL 32306-1121. E-mail: dstreet{at}garnet.acns.fsu.edu

Purpose: This study investigated how changes in Medicare and Medicaid policies affected skilled nursing facility (SNF) revenue streams and resident characteristics in Florida during the 1990s. Design and Methods: We used a series of ordinary least squares (OLS) regression models to analyze state-provided administrative data and Online Survey Certification and Reporting (OSCAR) data for all Florida SNFs. Results: We found that Florida SNFs responded differently to the growing gap in reimbursement between Medicaid and other payers, depending on their profit status. As the reimbursement gap grew, for-profit SNFs maximized their revenues by admitting fewer Medicaid paying residents, whereas nonprofit facilities increased their percentage of Medicaid admissions. Implications: Changes in patterns of reimbursement altered the composition of Florida SNF residents in terms of age, physical status, length of stay, and place of discharge.

Key Words: Medicaid long-term care • Medicare long-term care • Skilled nursing facilities