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  • Title: Impact of the Medicare Catastrophic Coverage Act on nursing homes.
    Author: Laliberte L, Mor V, Berg K, Intrator O, Calore K, Hiris J.
    Journal: Milbank Q; 1997; 75(2):203-33. PubMed ID: 9184682.
    Abstract:
    The Medicare Catastrophic Coverage Act (MCCA) of 1988 altered eligibility and coverage for skilled nursing facility (SNF) care and changed Medicaid eligibility rules for nursing-home residents. Detailed data on the residents of a for-profit nursing-home chain and Medicare claims for a 1 percent sample of beneficiaries were used to examine the impact of the MCCA on nursing homes. The case mix of nursing-home admissions was scrutinized, specifically for length of stay, discharge disposition, rate of hospitalization, and changes in payer source. Findings revealed that, although the proportion of Medicare-financed nursing-home care increased, as did the case-mix severity of residents during the MCCA period, there was no corollary reduction in hospital use by nursing-home residents.
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