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Trends in nursing home expenses, 1987 and 1996.

Rhoades JA, Sommers JP - Health Care Financ Rev (2003)

Bottom Line: As Medicare's role increased, there was an accompanying decline in the proportion of expenses paid out of pocket.In 1987, 45 percent was paid out of pocket versus 30 percent in 1996.Those nursing home residents using Medicare most heavily as a source of payment tended to exhibit very short stays (33 days on average), zero limitations in activities of daily living (ADLs), and no mental conditions.

View Article: PubMed Central - PubMed

Affiliation: Agency for Healthcare Research and Quality, Center for Financing, Access and Cost Trends, Room 5212, 540 Gather Road, Rockville, MD 20850, USA. jrhoades@ahrq.gov

ABSTRACT
This article presents data about expenses and sources of payment for nursing homes for 1987 and 1996. A central finding is that the role of Medicare in financing nursing home care has greatly expanded. Medicare payments represent 2 and 19 percent of the total for 1987 and 1996, respectively. As Medicare's role increased, there was an accompanying decline in the proportion of expenses paid out of pocket. In 1987, 45 percent was paid out of pocket versus 30 percent in 1996. Those nursing home residents using Medicare most heavily as a source of payment tended to exhibit very short stays (33 days on average), zero limitations in activities of daily living (ADLs), and no mental conditions.

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Mean Expense per Day and Percent Change for Nursing Home Residents, by Homeownership: 1987 Versus 1996
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f4-hcfr-25-1-099: Mean Expense per Day and Percent Change for Nursing Home Residents, by Homeownership: 1987 Versus 1996

Mentions: In both 1987 and 1996, residents who did not own a home had higher annual nursing home expenses ($14,568 and $24,673, 1987 versus 1996) per resident than residents who did own a home ($13,002 and $18,096, 1987 versus 1996). At the same time non-homeowners had a lower mean expense per day in 1996 (Figure 4). Non-homeowners tended to have longer LOSs than homeowners (264 versus 231 days in 1987, and 218 versus 134 days in 1996, respectively) and possibly received care more custodial in nature. This relationship appears to be more pronounced in 1996 than in 1987. Non-homeowners are more than twice as likely to have a permanent stay (a stay of 1 year or more) as compared with homeowners (Coughlin, McBride, and Liu, 1990).


Trends in nursing home expenses, 1987 and 1996.

Rhoades JA, Sommers JP - Health Care Financ Rev (2003)

Mean Expense per Day and Percent Change for Nursing Home Residents, by Homeownership: 1987 Versus 1996
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4194838&req=5

f4-hcfr-25-1-099: Mean Expense per Day and Percent Change for Nursing Home Residents, by Homeownership: 1987 Versus 1996
Mentions: In both 1987 and 1996, residents who did not own a home had higher annual nursing home expenses ($14,568 and $24,673, 1987 versus 1996) per resident than residents who did own a home ($13,002 and $18,096, 1987 versus 1996). At the same time non-homeowners had a lower mean expense per day in 1996 (Figure 4). Non-homeowners tended to have longer LOSs than homeowners (264 versus 231 days in 1987, and 218 versus 134 days in 1996, respectively) and possibly received care more custodial in nature. This relationship appears to be more pronounced in 1996 than in 1987. Non-homeowners are more than twice as likely to have a permanent stay (a stay of 1 year or more) as compared with homeowners (Coughlin, McBride, and Liu, 1990).

Bottom Line: As Medicare's role increased, there was an accompanying decline in the proportion of expenses paid out of pocket.In 1987, 45 percent was paid out of pocket versus 30 percent in 1996.Those nursing home residents using Medicare most heavily as a source of payment tended to exhibit very short stays (33 days on average), zero limitations in activities of daily living (ADLs), and no mental conditions.

View Article: PubMed Central - PubMed

Affiliation: Agency for Healthcare Research and Quality, Center for Financing, Access and Cost Trends, Room 5212, 540 Gather Road, Rockville, MD 20850, USA. jrhoades@ahrq.gov

ABSTRACT
This article presents data about expenses and sources of payment for nursing homes for 1987 and 1996. A central finding is that the role of Medicare in financing nursing home care has greatly expanded. Medicare payments represent 2 and 19 percent of the total for 1987 and 1996, respectively. As Medicare's role increased, there was an accompanying decline in the proportion of expenses paid out of pocket. In 1987, 45 percent was paid out of pocket versus 30 percent in 1996. Those nursing home residents using Medicare most heavily as a source of payment tended to exhibit very short stays (33 days on average), zero limitations in activities of daily living (ADLs), and no mental conditions.

Show MeSH
Related in: MedlinePlus