1. In 1997, Medicare established its prospective payment systemfor nursing homes. A key component of this payment system is thefacility's case mix. Please define what Medicare means by thisconcept, and how case mix is determined.
2. How is patient assessment used to determine Medicare case mixin a skilled nursing facility, who does this assessment, and whatis the assessment called? What are the new parts of thisAssessment, and what is the payment mechanism that is determined bythe results of this assessment.
3. How will Medicare value-based purchasing impact payments toMedicare certified nursing homes in the future?
