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Incentivizing better quality of care : the role of Medicaid and competition in the nursing home industry

Author: Martin B Hackmann; National Bureau of Economic Research,
Publisher: Cambridge, Mass. : National Bureau of Economic Research, 2017.
Series: Working paper series (National Bureau of Economic Research), no. 24133.
Edition/Format:   eBook : Document : EnglishView all editions and formats
Summary:
This paper develops a model of the nursing home industry to investigate the quality effects of policies that either raise regulated reimbursement rates or increase local competition. Using data from Pennsylvania, I estimate the parameters of the model. The findings indicate that nursing homes increase the quality of care, measured by the number of skilled nurses per resident, by 8.8% following a universal 10%  Read more...
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Details

Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Martin B Hackmann; National Bureau of Economic Research,
OCLC Number: 1018416621
Notes: "December 2017"
Includes online appendix (95 pages).
Description: 1 online resource (45 pages) : illustrations, maps.
Series Title: Working paper series (National Bureau of Economic Research), no. 24133.
Responsibility: Martin B. Hackmann.

Abstract:

This paper develops a model of the nursing home industry to investigate the quality effects of policies that either raise regulated reimbursement rates or increase local competition. Using data from Pennsylvania, I estimate the parameters of the model. The findings indicate that nursing homes increase the quality of care, measured by the number of skilled nurses per resident, by 8.8% following a universal 10% increase in Medicaid reimbursement rates. In contrast, I find that pro-competitive policies lead to only small increases in skilled nurse staffing ratios, suggesting that Medicaid increases are more cost effective in raising the quality of care.

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