Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States. Outcome-Based Regulations

12/01/2003

Two respondents expressed a desire for more outcome based measures of quality.

  • The types of things needed to really assure quality, such as performance based outcomes, would be better put into the Medicaid provider contracts than in licensing and regulatory requirements.

  • The regulations are getting too prescriptive. Oregon started with a resident centered program because the state wanted people to direct their own care. Now it's getting towards a more prescriptive model. The cause could have been a bad situation prompting media coverage. I prefer the more outcome based regulations--though I don't always know the best outcomes.

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