Medicaid reimbursement and the quality of nursing home care.
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.
Grabowski
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Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, 35294-0022, USA. grabowsk@uab.edu
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