Silverman H A
Health Care Financing Administration, Baltimore, MD 21207.
Health Care Financ Rev. 1991 Spring;12(3):103-8.
The skilled nursing facility benefit under Medicare has been difficult to administer because its intent has been subject to misinterpretation. This article describes the series of legislative and administrative actions taken to align the benefit's use with its intent. Data are presented to show the changes in utilization and program expenditures in response to the actions taken. The 1988 clarifications to the level-of-care requirements seem to have resulted in an increased level of use of skilled nursing facility services.
医疗保险下的专业护理机构福利一直难以管理，因为其意图容易被误解。本文描述了为使该福利的使用与其意图保持一致而采取的一系列立法和行政行动。所呈现的数据表明了因这些行动而导致的使用情况和项目支出的变化。1988年对护理水平要求的澄清似乎已导致专业护理机构服务的使用水平有所提高。
