Holly:  what I think would be interesting for you to compare/contrast is the difference between rural SNFs and the amount they are reimbursed under their PPS RUGs, vs a Critical Access Hospital Swingbed, which is reimbursed at 100% of actual cost.  I have never understood this, especially since CAH doesn't have to submit an MDS (at least in our state, but I think it is nation-wide).  We are a SNF attached to a CAH, when we admit a medicare skilled resident to the SNF, we are reimbursed at a much lower rate than if we swing them in the CAH, no matter that the therapy etc is the same, and just because I work in the SNF, I think the care is better and the rehab faster.  But economics is a big factor in deciding where to place the patient.
----- Original Message -----
Sent: Wednesday, January 14, 2004 11:50 PM
Subject: POLL re CNA salaries, Medicaid Rates

Hi Group,
 
I am working on an article discussing some of the challenges in long term care, especially in regards to the quest to provide ever improving care with what seems to be ever declining reimbursement.  I also want to tie in a discussion about the CNA job which requires so much from these employees who typically make less than almost any other health care worker.
 
I am interested in finding out the average daily Medicaid reimbursement, the average CNA starting salary, turnover rates, and staffing ratios. I also would welcome any comments or anecdotes about these issues.
 
If you are willing to share this information, please email me privately at [EMAIL PROTECTED] 
 
 
Thanks!
Holly
 
Holly F. Sox, RN, RAC-C 
Clinical Editor, Careplans.com
www.careplans.com
[EMAIL PROTECTED]

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