The share of Medicaid for nursing home care.
Over one-third of Medicaid dollars go to nursing homes, a share that is decreasing but that varies widely among the states. This paper examines demand, supply, and policy factors explaining interstate variation over time in the nursing home share of state Medicaid dollars. Nursing home bed stock shows strong effects; Medicaid expenditures for acute hospital and for ICF-MR care are important; and various demand factors also explain nursing home share. In this model, residual nursing home share of Medicaid declines over time, which is interpreted to reflect omitted state policy factors explaining state ability to constrain Medicaid nursing home utilization and expenditures.
Swan
J H
JH
Institute for Health and Aging, University of California, San Francisco 94143.
D005102:Health Expenditures / Q000706:statistics & numerical data*; D006742:Hospital Bed Capacity; D006801:Humans; D008607:Intellectual Disability / Q000191:economics; D007380:Intermediate Care Facilities / Q000191:economics*; D008484:Medicaid / Q000706:statistics & numerical data*; D012044:Regression Analysis; D012866:Skilled Nursing Facilities / Q000191:economics*; D013221:State Health Plans / Q000191:economics*; D014481:United States