{"id":"https://openalex.org/W178605507","doi":null,"title":"CMS Rehabilitation Policy: Expediency vs. Rationality","display_name":"CMS Rehabilitation Policy: Expediency vs. Rationality","publication_year":2006,"publication_date":"2006-01-01","ids":{"openalex":"https://openalex.org/W178605507","mag":"178605507"},"language":"en","primary_location":{"id":"pmh:oai:jdc.jefferson.edu:hpn-1483","doi":null,"is_oa":true,"landing_page_url":"https://jdc.jefferson.edu/hpn/vol19/iss2/3","pdf_url":"https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1483&context=hpn","source":{"id":"https://openalex.org/S4210178181","display_name":"The Medicine Forum","issn_l":"2325-2863","issn":["2325-2863"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Population Health Matters (Formerly Health Policy Newsletter)","raw_type":"article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1483&context=hpn","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5083493813","display_name":"Douglas Elwood","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Douglas Elwood","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033070058","display_name":"Jonathon S. Kirschner","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jonathon S. Kirschner","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5017736222","display_name":"John L. Melvin","orcid":"https://orcid.org/0000-0002-8401-9248","observed_orcids":["https://orcid.org/0000-0002-8401-9248"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"John L. Melvin","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-8401-9248","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"19","issue":"2","first_page":"3","last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9063000082969666,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9063000082969666,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13986","display_name":"Medical Practices and Rehabilitation","score":0.07119999825954437,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14396","display_name":"Healthcare Regulation","score":0.01360000018030405,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/inpatient-rehabilitation-facilities","display_name":"inpatient rehabilitation facilities","score":0.9340000152587891},{"id":"https://openalex.org/keywords/centers-for-medicare-medicaid-services","display_name":"Centers for Medicare and Medicaid Services","score":0.9559999704360962},{"id":"https://openalex.org/keywords/medicare-reimbursement","display_name":"Medicare reimbursement","score":0.671999990940094},{"id":"https://openalex.org/keywords/health-care-cost-containment","display_name":"health care cost containment","score":0.8270000219345093},{"id":"https://openalex.org/keywords/rehabilitation-policy","display_name":"rehabilitation policy","score":0.5350000262260437},{"id":"https://openalex.org/keywords/american-hospital-association","display_name":"American Hospital Association","score":0.6470000147819519},{"id":"https://openalex.org/keywords/stakeholder-perspectives","display_name":"stakeholder perspectives","score":0.7749999761581421},{"id":"https://openalex.org/keywords/overpayment","display_name":"overpayment","score":0.37599998712539673}],"concepts":[{"id":"https://openalex.org/C201717286","wikidata":"https://www.wikidata.org/wiki/Q938185","display_name":"Rationality","level":2,"score":0.8134169578552246},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.5537934899330139},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.42809751629829407},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3869817554950714},{"id":"https://openalex.org/C118084267","wikidata":"https://www.wikidata.org/wiki/Q26110","display_name":"Positive economics","level":1,"score":0.327151894569397},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3229597806930542},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.20462748408317566},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2036263346672058},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.14901086688041687}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:jdc.jefferson.edu:hpn-1483","doi":null,"is_oa":true,"landing_page_url":"https://jdc.jefferson.edu/hpn/vol19/iss2/3","pdf_url":"https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1483&context=hpn","source":{"id":"https://openalex.org/S4210178181","display_name":"The Medicine Forum","issn_l":"2325-2863","issn":["2325-2863"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Population Health Matters (Formerly Health Policy Newsletter)","raw_type":"article"},{"id":"mag:178605507","doi":null,"is_oa":false,"landing_page_url":"https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1483&context=hpn","pdf_url":null,"source":{"id":"https://openalex.org/S4306522830","display_name":"Population Health Matters (Formerly Health Policy Newsletter)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"Population Health Matters (Formerly Health Policy Newsletter)","raw_type":null}],"best_oa_location":{"id":"pmh:oai:jdc.jefferson.edu:hpn-1483","doi":null,"is_oa":true,"landing_page_url":"https://jdc.jefferson.edu/hpn/vol19/iss2/3","pdf_url":"https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1483&context=hpn","source":{"id":"https://openalex.org/S4210178181","display_name":"The Medicine Forum","issn_l":"2325-2863","issn":["2325-2863"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Population Health Matters (Formerly Health Policy Newsletter)","raw_type":"article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8048999905586243}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W178605507.pdf","grobid_xml":"https://content.openalex.org/works/W178605507.grobid-xml"},"referenced_works_count":2,"referenced_works":["https://openalex.org/W2057168560","https://openalex.org/W2141635852"],"related_works":["https://openalex.org/W2112800035","https://openalex.org/W7030295209","https://openalex.org/W2396933039","https://openalex.org/W2033888007","https://openalex.org/W56972748","https://openalex.org/W4399084514","https://openalex.org/W1474800262","https://openalex.org/W1971272055","https://openalex.org/W2917583847","https://openalex.org/W1974419674"],"abstract_inverted_index":{"There":[0],"is":[1],"little":[2],"doubt":[3],"as":[4,36],"to":[5,10,48,89,94,105,111],"the":[6,16,37,68,71,84,98,101,129,136,141,147],"pressure":[7],"from":[8,125,128],"Washington":[9],"control":[11],"health":[12],"care":[13],"costs":[14],"through":[15,33],"Centers":[17],"for":[18,51,86,114],"Medicare":[19],"and":[20,107,127,143],"Medicaid":[21],"Services":[22],"(CMS).Inpatient":[23],"rehabilitation":[24],"facilities":[25],"(IRFs)":[26],"have":[27,62],"been":[28],"targets":[29],"of":[30,60,64,97,103,138,149],"this":[31],"mission":[32],"legislation":[34],"known":[35],"75%":[38],"Rule":[39,69,142],"(the":[40],"Rule).Published":[41],"originally":[42],"in":[43,70],"1983,":[44],"its":[45,144],"purpose":[46],"was":[47,78],"define":[49],"eligibility":[50],"IRF":[52],"payment":[53],"reimbursement":[54],"by":[55],"mandating":[56],"that":[57,76,134],"75":[58],"percent":[59],"admissions":[61],"one":[63],"ten":[65],"diagnoses.Upon":[66],"revisiting":[67],"late":[72],"90s,":[73],"CMS":[74,126],"concluded":[75],"it":[77,92],"applied":[79],"inconsistently":[80],"among":[81],"IRFs,":[82],"suggesting":[83],"need":[85],"clearer":[87],"criteria":[88],"avoid":[90,112],"what":[91],"deemed":[93],"be":[95],"abuse":[96],"guidelines.CMS":[99],"expanded":[100],"list":[102],"diagnoses":[104],"thirteen":[106],"mandated":[108],"strict":[109],"adherence":[110],"overpayment":[113],"unneeded":[115],"services":[116],"(see":[117],"Figure":[118],"1).This":[119],"article":[120],"explores":[121],"two":[122],"recent":[123],"briefs,":[124],"American":[130],"Hospital":[131],"Association":[132],"(AHA),":[133],"demonstrate":[135],"perspectives":[137],"stakeholders":[139],"regarding":[140],"effects":[145],"on":[146],"field":[148],"rehabilitation.":[150]},"counts_by_year":[],"updated_date":"2026-08-31T07:19:18.363097","created_date":"2016-06-24T00:00:00"}