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Rehabilitation centers. --- Outcome assessment (Medical care) --- Assessment of outcome (Medical care) --- Outcome evaluation (Medical care) --- Outcome measures (Medical care) --- Outcomes assessment (Medical care) --- Outcomes measurement (Medical care) --- Outcomes research (Medical care) --- Patient outcome assessment --- Medical care --- Health facilities --- Evaluation

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As part of an effort to understand better the "natural history" of episodes of care among Medicare beneficiaries, this report documents patterns of postacute care use by Medicare patients and explores some factors that may explain these patterns. The research suggests that there are factors unrelated to a patient's medical condition that determine the setting in which postacute care is given. These factors include economic and social circumstances, and characteristics of the discharging hospital. Specifically, whites are significantly more likely to use skilled nursing facility (SNF) care than nonwhites, whereas nonwhites are significantly more likely to use home health care than whites. A similar pattern is repeated at the hospital level: Patients discharged from hospitals with a "disproportionate share" of Medicaid patients are less likely to receive SNF care but more likely to use home health care than are patients discharged from other hospitals. Because SNF and home health care appear to be substitutes for each other, policy measures that affect care in one of these settings will probably affect care in the other.

Nursing homes --- Home care services --- Hospitals --- Older people --- Medicare. --- Diagnostic Related Groups. --- Health Insurance for Aged and Disabled, Title 18. --- Home Care Services --- Rehabilitation. --- Rehabilitation Centers --- Skilled Nursing Facilities --- Utilization --- Rehabilitation services --- Medical care --- utilization.

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This report details the analyses that RAND performed to support the Health Care Financing Administration's efforts to design, develop and implement the Prospective Payment System for inpatient rehabilitation.

Hospitals. --- Hospitals - Rehabilitation services - Prospective payment - United States. --- Hospitals --- Inpatients --- Prospective Payment System --- Rehabilitation Centers --- Reimbursement Mechanisms --- Health Facilities --- Patients --- Persons --- Health Care Facilities, Manpower, and Services --- Insurance, Health, Reimbursement --- Health Care --- Financing, Organized --- Named Groups --- Economics --- Health Care Economics and Organizations --- Hospitals & Medical Centers --- Public Health --- Health & Biological Sciences --- Rehabilitation services --- Prospective payment --- Healthcare Economics and Organizations --- Capital --- Conditions, Economic --- Consumption --- Cost of Living --- Easterlin Hypothesis --- Economic Conditions --- Economic Factors --- Economic Policies --- Economic Policy --- Economics, Home --- Factors, Economic --- Home Economics --- Household Consumption --- Macroeconomic Factors --- Microeconomic Factors --- Policies, Economic --- Policy, Economic --- Production --- Remittances --- Utility Theory --- Consumer Price Index --- Condition, Economic --- Consumer Price Indices --- Consumption, Household --- Economic Condition --- Economic Factor --- Factor, Economic --- Factor, Macroeconomic --- Factor, Microeconomic --- Factors, Macroeconomic --- Factors, Microeconomic --- Household Consumptions --- Hypothesis, Easterlin --- Index, Consumer Price --- Indices, Consumer Price --- Living Cost --- Living Costs --- Remittance --- Theories, Utility --- Theory, Utility --- Utility Theories --- Community Financing --- Grants --- Organized Financing --- Financing, Community --- Grant --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Third-Party Payers --- Health Insurance Reimbursement --- Reimbursement, Health Insurance --- Third-Party Payments --- Health Insurance Reimbursements --- Insurance Reimbursement, Health --- Insurance Reimbursements, Health --- Payer, Third-Party --- Payers, Third-Party --- Payment, Third-Party --- Payments, Third-Party --- Reimbursements, Health Insurance --- Third Party Payers --- Third Party Payments --- Third-Party Payer --- Third-Party Payment --- Healthcare Facilities, Manpower, and Services --- Person --- Clients --- Client --- Patient --- Facilities, Health --- Facility, Health --- Health Facility --- Mechanism, Reimbursement --- Mechanisms, Reimbursement --- Reimbursement Mechanism --- Centers, Rehabilitation --- Center, Rehabilitation --- Rehabilitation Center --- Adjustment, Discretionary --- Discretionary Adjustment Factor --- Prospective Pricing --- Prospective Reimbursement --- Reimbursement, Prospective --- Adjustment Factor, Discretionary --- Adjustment Factors, Discretionary --- Adjustments, Discretionary --- Discretionary Adjustment --- Discretionary Adjustment Factors --- Discretionary Adjustments --- Factor, Discretionary Adjustment --- Factors, Discretionary Adjustment --- Payment System, Prospective --- Payment Systems, Prospective --- Pricing, Prospective --- Prospective Payment Systems --- Prospective Reimbursements --- Reimbursements, Prospective --- System, Prospective Payment --- Systems, Prospective Payment --- Inpatient --- Benevolent institutions --- Infirmaries --- Health facilities --- Prospective Payment System. --- Inpatients. --- economics. --- United States.