title: Medicaid reimbursement and the quality of nursing home care.
abstract: An influential series of papers have found that an increase in Medicaid reimbursement decreases the level of nursing home quality in the presence of certificate-of-need (CON) and construction moratorium regulations. Using more recent national data, an outcome-oriented measure of quality, and an alternative methodology, this study finds a positive, albeit small, effect of reimbursement on quality. Although this paper does find some evidence of excess demand within the market for nursing home care, this new finding is attributed to a decline in nursing home utilization over the last two decades.
authors.affiliation: Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, 35294-0022, USA. grabowsk@uab.edu
authors.forename: D C
authors.initials: DC
authors.lastname: Grabowski
mesh_terms: D002567:Certificate of Need; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000706:statistics & numerical data*; D008484:Medicaid / Q000191:economics*; D017059:Models, Econometric; D009735:Nursing Homes / Q000191:economics / Q000331:legislation & jurisprudence / Q000592:standards*; D017063:Outcome Assessment, Health Care; D011787:Quality of Health Care / Q000191:economics*; D014481:United States