IHS racked up a lot of debt pioneering the concept of subacute care, an opportunity created by hospitals that were discharging patients quicker and sicker
. But PPS has rendered certain parts of the subacute business either flat-out unprofitable or profitable only after major cost-cutting.
Mahoney (1995) indicates that "the rehabilitation patient with medical complexity adds a new dimension to traditional interdisciplinary issues in rehabilitation" because "patients are transferred quicker and sicker
' to rehabilitation program " to facilitate "health care reform, prospective payment, functional related groups, capitation, and managed care" (p.