Payer incentives and physical rehabilitation therapy for nonelderly institutional long-term care residents: Evidence from Michigan and Ontario

Wodchis, W.P., Fries, B.E., Pollack, H. (2004). Payer incentives and physical rehabilitation therapy for nonelderly institutional long-term care residents: Evidence from Michigan and Ontario. Archives of Physical Medicine and Rehabilitation , 85(2), pp.210-217.

Abstract

Article describes the effects of different payment methods on the provision of physical therapy (PT) and occupational therapy (OT) to nonelderly nursing home residents in Michigan and in Ontario, Canada. A Medicare policy change from cost-based to a patient-specific case-mix payment method was associated with greater likelihood of receiving OT and PT and more therapy time compared to private-pay residents. The Canadian global budget payment was associated with greater access to PT but fewer weekly minutes of OT and PT.

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