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Health Care Financing Review articles

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Publication covering business and finance issues in the health care industry.

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Understanding and improving psychosocial services in long-term care.

Dec 22, 2008; ... INTRODUCTION The LTC system serves people with diverse needs, including those with recent impairment in activities of daily living after an acute event or surgery; those with LTC disabilities or advanced chronic conditions including dementia; and people who are approaching the ...

Facility service environments, staffing, and psychosocial care in nursing homes.

Dec 22, 2008; ... INTRODUCTION Serious care deficiencies in nursing homes are receiving increasing attention from advocates and policymakers (Duhigg, 2007). Addressing deficiencies in hands on physical care remain a priority for these reform efforts. Psychosocial care receives less attention from ...

Nursing home work environment characteristics: associated outcomes in psychosocial care.

Dec 22, 2008; ... INTRODUCTION Among social service professionals (1) in SNFs, a relationship exists between work environment characteristics and employee-related outcomes such as job satisfaction, turnover intention (Gleason-Wynn and Mindel, 1999; Simons, 2006), and perceived decisionmaking ...

Effects of Green House[R] nursing homes on residents' families.

Dec 22, 2008; ... EFFECTS OF GH[R] NURSING HOMES This article presents results of a quasi-experimental study that examined how a dramatically changed small-house nursing home model affected behavior and outcomes for residents' family members. The model of nursing home care developed in the GH[R] ...

Medicaid waiver personal care services: results of a statewide survey.

Dec 22, 2008; ... INTRODUCTION The Virginia Medicaid E&D waiver serves personal care needs of low-income clients who meet nursing home admission criteria, thus allowing individuals to remain at home. This waiver enrolls far more people than any other Medicaid waiver program in Virginia and ...

Alternative comorbidity adjustors for the medicare inpatient psychiatric facility PPS.

Dec 22, 2008; ... BACKGROUND The Medicare acute inpatient prospective payment system (IPPS) was implemented in 1983 to pay acute care hospitals a per case payment using the diagnosis related groups (DRG). However, psychiatric hospitals and psychiatric units, known as Medicare-certified distinct ...

Medicare risk adjustment for the frail elderly.

Dec 22, 2008; ... INTRODUCTION Several analyses have shown that diagnosis-based risk adjusters do not fully predict the expenditures of the frail elderly, where frailty is generally defined in terms of functional impairments (Pope et al., 1998, 2000; Kautter and Pope, 2001, 2004; Kautter et al., ...

Cost of lifetime immunosuppression coverage for kidney transplant recipients.

Dec 22, 2008; ... INTRODUCTION While Medicare in the U.S. only added a prescription medication option to its benefit package in 2006, it has provided at least 1 year coverage of immunosuppression medications for transplant receipients since 1978. Between 1993 and 1995, Medicare increased the ...

Prevalence of select psychiatric diagnoses in long-term care: 1997-2007.(MCBS Highlights)(Report)

Dec 22, 2008; ... INTRODUCTION A beneficiary is considered to be residing in a facility, for purposes of the MCBS, when that facility contains three or more beds and provides either personal care services to residents, or continuous supervision of residents, or provides long-term care services ...