Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Introduction and History of Modern Health Care in the U.S.
Lecture:Components of Health Care Delivery and Finance
Slide content:Health Care Delivery Nursing and Residential Care Facilities - 2 1969 - Medicare drastically reduced coverage for nursing homes 1970 - Miller Amendment established a new standard, intermediate care 1990s - Sub-acute care Provided care for patients discharged from hospitals who briefly need a higher level of care than is provided to the majority of patients in a skilled nursing facility. 9
Slide notes:In 1969, as the cost of Medicare increased, the then Department of Health and Human Services drastically reduced coverage for nursing homes. A year later, the Miller Amendment established a new standard called intermediate care . Intermediate care facilities didnt require the same amount of skilled nursing or resources thus requiring reduced levels of reimbursement. In the 1990s another standard, sub-acute care, was defined to provide care for patients discharged from hospitals who briefly needed a higher level of care than was provided to a majority of patients in a skilled nursing facility. These distinct levels of care have been delineated primarily from the cost-effectiveness perspective. 9