title: Nursing home price and quality responses to publicly reported quality information.
abstract: OBJECTIVE
  To assess whether the release of Nursing Home Compare (NHC) data affected self-pay per diem prices and quality of care.
  
  
  METHODS
  Primary data sources are the Annual Survey of Wisconsin Nursing Homes for 2001-2003, Online Survey and Certification Reporting System, NHC, and Area Resource File.
  
  
  METHODS
  We estimated fixed effects models with robust standard errors of per diem self-pay charge and quality before and after NHC.
  
  
  RESULTS
  After NHC, low-quality nursing homes raised their prices by a small but significant amount and decreased their use of restraints but did not reduce pressure sores. Mid-level and high-quality nursing homes did not significantly increase self-pay prices after NHC nor consistently change quality.
  
  
  CONCLUSIONS
  Our findings suggest that the release of quality information affected nursing home behavior, especially pricing and quality decisions among low-quality facilities. Policy makers should continue to monitor quality and prices for self-pay residents and scrutinize low-quality homes over time to see whether they are on a pathway to improve quality. In addition, policy makers should not expect public reporting to result in quick fixes to nursing home quality problems.
authors.affiliation: Department of Health Administration, Virginia Commonwealth University, Richmond, VA 23298-0203, USA. jclement@vcu.edu
authors.forename: Jan P
authors.initials: JP
authors.lastname: Clement
authors.forename: Gloria J
authors.initials: GJ
authors.lastname: Bazzoli
authors.forename: Mei
authors.initials: M
authors.lastname: Zhao
mesh_terms: D005249:Fees and Charges / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D017059:Models, Econometric; D009735:Nursing Homes / Q000191:economics* / Q000592:standards*; D011787:Quality of Health Care / Q000191:economics* / Q000706:statistics & numerical data; D014922:Wisconsin
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