Issue Brief

No. 743

Implementing the BBA: The Challenge of Moving Medicare Post-Acute Services to PPS
July 7, 1999


Karen Matherlee


This issue brief examines the challenge of putting skilled nursing facilities (SNFs), medical rehabilitation units, and home health under prospective payment, requiring the development of classification systems for each. It looks at the three-year phase-in of SNF resource utilization groups (RUGs) that began July 1, 1998 and the debate over classification systems for medical rehabilitation facilities and home health. The paper goes beyond issues of classification to consider coordination problems in placing these post-acute services under Medicare PPS.

Related Materials

See also the entry for the related Forum Session.

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