Critical access hospitals (CAHs) are in a unique position related to post-acute care because of the cost-based reimbursement environment in which they operate. Most post-acute service offerings are not cost reimbursable from Medicare or Medicaid when provided by
a CAH. In addition, providing or adding post-acute care services which are not cost-reimbursable can create financial disincentives due to potential negative effects on Medicare and Medicaid reimbursement for CAH services. The reimbursement effect is just one factor in making appropriate strategic decisions regarding post-acute care services.
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