United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2002-08-23 monographic deposited born digital 27 p. GA 1.13:GAO-02-841 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-02-841 P0b002ee18039b8bb f:d02841 DGPO 2010-08-12 2011-03-28 GAOREPORTS-GAO-02-841 machine generated eng fdlp REPORT GAOREPORTS-GAO-02-841 GAO-02-841 Beneficiaries Health care cost control Health care planning Health care programs Health care services Payments Skilled nursing facilities Medicare Program Other Written Product A04664 In 1998, the Health Care Financing Administration implemented a prospective payment system (PPS) for skilled nursing facility (SNF) services provided to Medicare beneficiaries. PPS is intended to control the growth in Medicare spending for skilled nursing and rehabilitative services that SNFs provide. Two years after the implementation of PPS, the mix of patients across the categories of payment groups has shifted, as determined by the patients' initial minimum data set assessments. Although the overall share of patients classified into rehabilitation payment group categories based on their initial assessments remained about the same, more patients were classified into the high and medium rehabilitation payment group categories, and fewer were initially classified into the most intensive (highest paying) and least intensive (lowest paying) rehabilitation payment group categories. Two years after PPS was implemented the majority of patients in rehabilitation payment groups received less therapy than was provided in 199. This was true even for patients within the same rehabilitation payment group categories. Across all rehabilitation payment group categories, fewer patients received the highest amounts of therapy associated with each payment group. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-02-841/html/GAOREPORTS-GAO-02-841.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-02-841/pdf/GAOREPORTS-GAO-02-841.pdf GAO-02-841 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-02-841 Other Written Product GAO-02-841; Skilled Nursing Facilities: Providers Have Responded to Medicare Payment System By Changing Practices; Beneficiaries Health care cost control Health care planning Health care programs Health care services Payments Skilled nursing facilities Medicare Program Volume 111 Page 251 111 Stat. 251 Volume 113 Page 1501 113 Stat. 1501 Volume 114 Page 2763 114 Stat. 2763 Public Law 105-33 Public Law 106-113 Public Law 106-554