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I could say, 'I'll take your difficult patients and give them more services ... and you are going to give me a higher rate,'" Pollard said. "It allowed out-of-state vendors to maximize their revenue beyond that stereotypical in-state rate."
NYS is going to continue to generate high need patients. Shouldn't we design a system that encourages (not discourages) in-state Nursing Home providers to serve these patients?
While such incentives would eventually improve patient care, this does not have to be our primary motivation. We could do it -in part- because it would allow us to tax those who are providing the care.