RUG-II (Resource Utilization Group, Version II) impacts on long-term care facilities in New York

This article observes changes during the first 5 years of Resource Utilization Group, Version II (RUG-II) system utilization by the New York State Department of Health (NYDOH) for Medicaid program reimbursement. Findings include a dramatic increase in the number of residents scoring in the highest i...

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Bibliographic Details
Published in:Health care financing review 1994, Vol.16 (2), p.85-99
Main Authors: Schultz, B M, Ward, D, Knickman, J R
Format: Article
Language:English
Subjects:
Buildings
Capital costs
Cash flow statements
Classification
Cost Allocation
Data collection
Demographics
Diagnosis-Related Groups - classification
Diagnosis-Related Groups - economics
Effects
Expenditures
Financial Management - trends
Health Services Research
Health services utilization
Long term health care
Long-Term Care - classification
Long-Term Care - economics
Long-term care facilities
Medicaid
Medicaid - statistics & numerical data
Medicaid - trends
Medicare Payment Systems: Moving Toward the Future
New York
Nursing care
Nursing homes
Nursing Homes - economics
Nursing Homes - statistics & numerical data
Occupational therapy
Payment systems
Personnel Staffing and Scheduling - trends
Physical therapy
Prospective payment systems (Medical care)
Rehabilitation - classification
Rehabilitation - economics
Reimbursement
Reimbursement Mechanisms - trends
Speech therapy
State Health Plans - economics
State Health Plans - statistics & numerical data
State Health Plans - trends
Statistical analysis
Studies
United States
Utilization
Workforce planning
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Description
Summary:This article observes changes during the first 5 years of Resource Utilization Group, Version II (RUG-II) system utilization by the New York State Department of Health (NYDOH) for Medicaid program reimbursement. Findings include a dramatic increase in the number of residents scoring in the highest intensity resident-care categories, a substantial increase in staffing and expenditures for rehabilitation therapies, and a possible negative impact on the financial performance of New York long-term care (LTC) facilities. RUG-II appears to have been successful in improving access to nursing homes for individuals with heavy-care needs and in encouraging the appropriate utilization of institutionalized skilled nursing care.
ISSN:0195-8631
1554-9887