Healthcare Payment Systems

CHSRA provides systems development, modeling, and analytical services to support Wisconsin Medicaid LTC programs. This includes:

  • Modeling nursing home utilization and costs for use in rate setting and managing the Medicaid nursing home payment system
  • Maintaining a database of nursing home cost reports and rate schedules (Orbs)
  • Maintaining a database of nursing home resident case mix information (RUGs) based on resident assessment data (MDS)
  • Analyzing managed LTC service encounter data, including both institutional and residential care services
  • Developing and evaluating pay for performance models
  • Other analytic support, as needed

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