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Title: Nursing home reimbursement: implications for cost containment, access, and quality. Author: Holahan J, Cohen J. Journal: Milbank Q; 1987; 65(1):112-47. PubMed ID: 3299032. Abstract: The individual states have many options in designing Medicaid reimbursement systems for nursing homes. Each option has a differential effect on incentives--and outcomes--for containing costs, providing quality care, and maintaining access to care. The mix and consequences of specific choices are analyzed in a framework that disaggregates costs into three components. Tradeoffs among competing elements will be inevitable, but reimbursement policy can maximize both efficiency and equity.[Abstract] [Full Text] [Related] [New Search]