Labor Costs and the Area Wage Index in Skilled Nursing Facilities
This project will examine regional patterns in Skilled Nursing Facility (SNF) hourly wages, using data from Fiscal Year 1997 cost reports for all free-standing and hospital-based facilities. We will analyze wage differentials by community size and regional location with the objective of comparing these to the patterns found in inpatient hospital wages from the same areas in order to assess the impact of HCFA s use of a hospital wage index to adjust SNF payment rates.
Publications
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Rural-Urban Issues In The Wage Index Adjustment For Prospective Payment In Skilled Nursing Facilities (Brief Report)
Author(s): Kathleen Dalton, Rebecca Slifkin
Report Number: Findings Brief
Date: 01 / 2004
The hourly wage data collected from Medicare-participating nursing homes were used to examine urban and rural patterns in average hourly nursing home wages and patterns of wage variation within the statewide rural labor markets defined by CMS. The data were also used to examine the adequacy of the hospital wage index as an adjuster for skilled nursing facility rates. Working Paper No. 78 also addresses this topic.
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Rural-Urban Issues In The Wage Index Adjustment For Prospective Payment In Skilled Nursing Facilities (Full Report)
Author(s): Kathleen Dalton, Rebecca Slifkin
Report Number: Working Paper No. 78
Date: 11 / 2003
The hourly wage data collected from Medicare-participating nursing homes were used to examine urban and rural patterns in average hourly nursing home wages and patterns of wage variation within the statewide rural labor markets defined by CMS. The data were also used to examine the adequacy of the hospital wage index as an adjuster for skilled nursing facility rates. A findings brief on this topic is also available.
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