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Executive Summary of Analyses for the Initial Implementation of the Inpatient Rehabilitation Facility Prospective Payment System

Executive Summary of Analyses for the Initial Implementation of the Inpatient Rehabilitation Facility Prospective Payment System
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In the Balanced Budget Act of 1997, Congress mandated that Health CareFinancing Administration (HCFA) implement a Prospective Payment System (PPS)for inpatient rehabilitation. The Centers for Medicare and Medicaid Services(CMS, the successor agency to HCFA) issued the final rule governing such aPPS on August 7, 2001. This report summarizes the research that RAND performed to support HCFA's efforts to design, develop, and implement thePPS. It describes RAND's research on new function-related groups,comorbidities, unusual cases, facility-level adjustments, outlier payments,facility-level adjustments, and assessment instruments. In addition, itpresents recommendations concerning the payment system and discusses there searchers' plans for further research on the monitoring and refinement of the PPS.
RAND Corporation; January 2002
351 pages; ISBN 9781598753646
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