Financial Impact of Reimbursing CAH Swing Bed Days at the SNF PPS Rate
Under current reimbursement methods, the Medicare program pays more per day for a skilled nursing patient in a Critical Access Hospital (CAH) swing bed than it does for a similar patient who is in a skilled nursing facility. This study assessed the financial impact of changing CAH swing bed reimbursement from the current cost-based system to the skilled nursing facility (SNF) prospective payment system (PPS).
Estimated Reduction in CAH Proﬁtability from Loss of Cost‐Based Reimbursement for Swing Beds
North Carolina Rural Health Research and Policy Analysis Center
The purpose of this study was to estimate the impact of potential loss of cost-based reimbursement for swing beds on Critical Access Hospital (CAH) profitability and to examine the characteristics of CAHs that would be most affected by such a change in reimbursement.