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Incentive Payments to Nursing Homes Based on Quality-of-Care Outcomes

Incentive Payments to Nursing Homes Based on Quality-of-Care Outcomes The federal Omnibus Budget Reconciliation Act of 1987 specifies that a state may establish aprogram to reward—through public recognition, incentive payments, or both—nursing facilitiesthat provide the highest quality care to residents entitled to Medicaid. As state policymakers,providers, and advocates consider development of systems for rewarding quality in nursinghomes, including incentive payments based on resident outcomes, theoretical and practicaldilemmas must be addressed. The article examines the impetus for combining incentives withoutcome measures and the conceptual dilemmas that outcome-based payments pose. Issues basicto successful implementation of incentive payments to nursing homes based on quality of careoutcomes are also delineated. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Applied Gerontology SAGE

Incentive Payments to Nursing Homes Based on Quality-of-Care Outcomes

Chapin, Rosemary; Silloway, Glenn
Journal of Applied Gerontology , Volume 11 (2): 15 – Jun 1, 1992
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References (19)

Publisher
SAGE
Copyright
Copyright © by SAGE Publications
ISSN
0733-4648
eISSN
1552-4523
DOI
10.1177/073346489201100201
pmid
10119052
Publisher site
See Article on Publisher Site

Abstract

The federal Omnibus Budget Reconciliation Act of 1987 specifies that a state may establish aprogram to reward—through public recognition, incentive payments, or both—nursing facilitiesthat provide the highest quality care to residents entitled to Medicaid. As state policymakers,providers, and advocates consider development of systems for rewarding quality in nursinghomes, including incentive payments based on resident outcomes, theoretical and practicaldilemmas must be addressed. The article examines the impetus for combining incentives withoutcome measures and the conceptual dilemmas that outcome-based payments pose. Issues basicto successful implementation of incentive payments to nursing homes based on quality of careoutcomes are also delineated.

Journal

Journal of Applied Gerontology – SAGE

Published: Jun 1, 1992

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