Medicaid and Non-Medicaid Case Mix Differences in Colorado Nursing Homes

Bibliographic Data

ID9103690
AuthorsPeter W Shaughnessy (University of Colorado Health, corresponding author), Robert E Schlenker (University of Colorado Health, corresponding author), Mary B Polesovsky (Denver Public Health)
Year1986
Volume24
Issue6
Pages482-495
Publication date1986-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198606000-00003
PMID3086638
OpenAlexW1993863538
LanguageEN
Citations received1
References cited3

Profiles of case mix and related variables were compared for 1,064 Medicaid and 459 non-Medicaid residents of 65 freestanding nursing homes in Colorado in 1980. The results point to substantial case-mix differences, with Medicaid residents typically characterized by fewer and less intense long-term care problems as well as greater independence in functioning (ADLs). Policy impacts of these findings in Colorado have included a legislatively mandated home and community-based care program as well as a more stringent preadmission certification program for Medicaid clients. The method of comparing Medicaid and non-Medicaid case mix in nursing homes appears to have policy relevance for other states as well. Research implications in the areas of measuring severity of long-term care problems and measuring residents' functional abilities apart from services received are also suggested

Case mix index · Certification · Family medicine · Health care · Independence (probability theory) · Long-term care · Medicaid · Nursing homes · Political science · Geriatric Care and Nursing Homes · Health disparities and outcomes · Medicine · Migration, Aging, and Tourism Studies · Nursing · Gerontology

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