Health Policy Center AuthorsPublications by Douglas A. Wissoker for Health Policy Center Back to Browse by Author More about Douglas A. Wissoker's areas of expertise can be found on this Urban Institute expert's page.
Modeling Alternative Designs for a Revised PPS for Skilled Nursing Facilities (Research Report) Author(s): Bowen Garrett, Douglas A. Wissoker In its June 2008 Report to Congress, the Medicare Payment Advisory Commission (MedPAC) recommended revision of the prospective payment system (PPS) for skilled nursing facilities (SNFs). The proposed revisions consist of a new component to pay for non-therapy ancillaries (NTA) based on predicted NTA costs, an alternative therapy component that bases therapy payments on predicted therapy needs, and addition of an outlier policy for the PPS. This technical report to MedPAC provides detail on the data, methods, and specific predictive models that underlie the analysis in the Report to Congress.
Options for Improving Medicare Payment for Skilled Nursing Facilities (Research Report) Author(s): Korbin Liu, Bowen Garrett, Douglas A. Wissoker, Stephanie Maxwell, Andrew Kramer, Theresa Eilertsen, Anne Epstein, Yu-Chu Shen, Sung-Joon Min, Sharon K. Long, Robert Schlenker, Brant Fries, Joan Buchanan Medicare has paid skilled nursing facilities (SNFs) using a prospective payment system (PPS) since 1998. This report offers policy options to refine Medicare’s payment of SNF services by developing alternative patient classification models. Three models classify patients according to expected non-therapy ancillary (NTA) costs: two models use data from the SNF to model NTA costs; a third adds data from prior hospital stays. A fourth model predicts rehabilitation therapy costs using patient characteristics. The fifth uses Diagnostic Related Groups to predict total SNF care costs. The report also simulates options for outlier payments for exceptionally high-cost cases.
Long-Term Care Hospitals Under Medicare (Article) Author(s): Korbin Liu, Cristina Basseggio, Douglas A. Wissoker, Stephanie Maxwell, Jennifer M. Haley, Sharon K. Long Though accounting for only a small percentage of total Medicare spending, long-term care hospitals (LTCHs) (defined as having an average length of stay [LOS] of 25 days or more) have been growing, in number and in Medicare expenditures, at a rapid rate in recent years. Because they have not been widely studied, we conducted research to describe the characteristics of this increasingly important Medicare provider type. We found that most LTCHs specialize in the provision of respiratory care or rehabilitation. Information from this study can help inform the development of a Medicare prospective payment system for LTCHs. . (Health Care Financing Review 2001 Winter; 23(2):1-18).
Long-Term Care Hospitals Under Medicare (Article) Author(s): Korbin Liu, Cristina Basseggio, Douglas A. Wissoker, Stephanie Maxwell, Jennifer M. Haley, Sharon K. Long Though accounting for only a small percentage of total Medicare spending, long-term care hospitals (LTCHs) (defined as having an average length of stay [LOS] of 25 days or more) have been growing, in number and in Medicare expenditures, at a rapid rate in recent years. Because they have not been widely studied, we conducted research to describe the characteristics of this increasingly important Medicare provider type. We found that most LTCHs specialize in the provision of respiratory care or rehabilitation. Information from this study can help inform the development of a Medicare prospective payment system for LTCHs. (Health Care Financing Review 2001 Winter; 23(2):1-18).
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