Case-Mix Differences Between Hospital-Based and Freestanding Skilled Nursing Facilities

A Review of the Evidence

Bibliographic Data

ID9099237
AuthorsJoshua Wiener (0000-0002-4559-4098, corresponding author), Korbin Liu, George Schieber (Organisation de Coopération et de Développement Economiques)
Year1986
Volume24
Issue12
Pages1173-1182
Publication date1986-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198612000-00009
PMID3099106
OpenAlexW2046449027
LanguageEN
Citations received4

Many health care services are available in both hospital and freestanding settings. Hospital-based providers are usually much more expensive than freestanding providers. According to Medicare data, costs in hospital-based skilled nursing facilities (SNFs) are twice those of freestanding facilities. While critics charge that this is the result of inefficiency, hospitals counter that higher costs are caused by treatment of sicker patients and provision of higher-quality care. This paper analyzes the research on the case-mix differences between hospital-based and freestanding SNFs. On the basis of this analysis, it appears that hospital-based facilities tend to serve more severely ill patients (i.e., have a more difficult case mix) than do freestanding facilities. Case-mix differences, however, appear to explain less than half of the cost differential between the two types of facilities

Business · Case mix index · Health care · Inefficiency · Medical emergency · Quality (philosophy) · Skilled Nursing Facility · Geriatric Care and Nursing Homes · Medicine · Nursing

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