The effect of Medicaid reimbursement on quality of care in nursing homes.
This study uses a nationally representative sample of nursing homes and nursing home residents to examine the effect of Medicaid reimbursement on quality of care. The analysis shows that both reimbursement approach and level affect nursing home quality, as measured by case-mix adjusted staff to resident ratios. The analysis also shows that staffing ratios have a significant impact on resident outcomes, and these impacts vary by professional category of staff. Reimbursement does not have a significant impact on outcomes, however.
Cohen
J W
JW
Agency for Health Care Policy and Research, Rockville, MD 20852, USA.
Spector
W D
WD
D000203:Activities of Daily Living; D000368:Aged; D003953:Diagnosis-Related Groups / Q000191:economics; D006302:Health Services Research / Q000191:economics / Q000379:methods; D006801:Humans; D007349:Insurance, Health, Reimbursement; D008484:Medicaid / Q000706:statistics & numerical data*; D018803:Models, Economic; D009735:Nursing Homes / Q000191:economics / Q000592:standards*; D009740:Nursing Staff / Q000600:supply & distribution; D010067:Ownership / Q000191:economics; D011787:Quality of Health Care / Q000191:economics*; D012494:Sampling Studies; D016896:Treatment Outcome; D014481:United States; D000078329:Workforce