Covaleski M A, Davis C J
J Long Term Care Adm. 1981 Fall;9(3):11-22.
Federal contingencies charge states to regulate the reimbursement of the nursing home industry such that government reimbursement is at a minimal cost that reflects efficient operations, yet at amounts great enough to allow viability and ability to attract and maintain the investment of capital. This study discusses the regulation of the nursing home industry in terms of the significance and costs of financial capital, and the constraints imposed upon states as regulators of capital reimbursement policies. Descriptive financial profiles of nursing homes are provided in one state where the industry alleges inadequacies in the capital reimbursement formula. These financial profiles suggest that the nursing homes investigated have not been able to provide for capital maintenance; instead, the industry may be suffering from equity erosion. Also, the descriptive profiles of capital structure in the nursing home industry differ across three major segments--county, not-for-profit and proprietary homes.
联邦应急措施要求各州对疗养院行业的报销进行监管，以便政府报销成本最低，既能反映高效运营，金额又要足够高，以确保其生存能力以及吸引和维持资本投资的能力。本研究从金融资本的重要性和成本，以及各州作为资本报销政策监管者所面临的限制等方面，探讨了疗养院行业的监管问题。在某一个州，行业称资本报销公式存在不足，文中给出了该州疗养院的描述性财务概况。这些财务概况表明，接受调查的疗养院无法维持资本；相反，该行业可能正遭受股权侵蚀。此外，疗养院行业资本结构的描述性概况在三个主要细分领域（县办、非营利性和私立疗养院）有所不同。
