Pace and the Medicare+Choice Risk-Adjusted Payment Model
Bibliographic Data
| ID | 13776289 |
|---|---|
| Authors | Helena Temkin‐greener (0000-0001-6113-2953, Long Term Care Community Coalition, corresponding author), Helena Temkin-Greener, Mark R Meiners, Leonard Gruenberg |
| Year | 2001 |
| Volume | 38 |
| Issue | 1 |
| Pages | 60-72 |
| Publication date | 2001-02-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.5034/inquiryjrnl_38.1.60 |
| PMID | 11381723 |
| OpenAlex | W2155625304 |
| Language | EN |
| Citations received | 2 |
| References cited | 3 |
This paper investigates the impact of the Medicare principal inpatient diagnostic cost group (PIP-DCG) payment model on the Program of All-Inclusive Care for the Elderly (PACE). Currently, more than 6,000 Medicare beneficiaries who are nursing home certifiable receive care from PACE, a program poised for expansion under the Balanced Budget Act of 1997. Overall, our analysis suggests that the application of the PIP-DCG model to the PACE program would reduce Medicare payments to PACE, on average, by 38%. The PIP-DCG payment model bases its risk adjustment on inpatient diagnoses and does not capture adequately the risk of caring for a population with functional impairments
Actuarial science · Business · Environmental health · Geography · Pace · Payment · Population · Finance · Geriatric Care and Nursing Homes · Global Health Care Issues · Healthcare Policy and Management · Medicine
| Citations per year | 0.09 |
|---|---|
| Citation span | 2004 - 2006 (3) |
| Highly cited | No |