Florida's Model of Nursing Home Medicaid Reimbursement for Disaster-Related Expenses

Autor/inn/en	Thomas, Kali S.; Hyer, Kathryn; Brown, Lisa M.; Polivka-West, LuMarie; Branch, Laurence G.
Titel	Florida's Model of Nursing Home Medicaid Reimbursement for Disaster-Related Expenses
Quelle	In: Gerontologist, 50 (2010) 2, S.263-270 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0016-9013
DOI	10.1093/geront/gnp132
Schlagwörter	Expenditures; Natural Disasters; Nursing Homes; Health Facilities; Costs; Health Services; Federal Programs; State Federal Aid; Eligibility; Low Income Groups; Disabilities; Models; Weather; Florida + Suchen Sie Ihr Suchwort? Ausgaben; Natural disaster; Naturkatastrophe; Sonderheim; Gesundheitszentrum; Cost; Kosten; Health service; Gesundheitsdienst; Gesundheitswesen; Eignung; Handicap; Behinderung; Analogiemodell; Wetter
Abstract	Purpose: This study describes Florida's model of Medicaid nursing home (NH) reimbursement to compensate NHs for disaster-related expenses incurred as a result of 8 hurricanes within a 2-year period. This Florida model can serve as a demonstration for a national model for disaster-related reimbursement. Design and Methods: Florida reimburses NHs for approved disaster-related costs through hurricane interim rate requests (IRRs). The state developed its unique Medicaid per diem rate temporary add-on by adapting its standard rate-setting reimbursement methodology. To understand the payment mechanisms and the costs that facilities incurred as a result of natural disasters, we examined the IRRs and cost reports for facilities requesting and receiving reimbursement. Results: Cost reports and IRR applications indicated that Florida Medicaid spent close to $16 million to pay for hurricane-related costs to NHs. Implications: Without Florida's Hurricane IRR program, many facilities would have not been reimbursed for their hurricane-related costs. Florida's model is one that Medicare and other states should consider adopting to ensure that NHs receive adequate reimbursement for disaster-related expenses, including tornadoes, earthquakes, floods, blizzards, and other catastrophic events. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10