The effect of pay-for-performance in nursing homes: evidence from state Medicaid programs.

ABSTRACT:

Objective

Pay-for-performance (P4P) is commonly used to improve health care quality in the United States and is expected to be frequently implemented under the Affordable Care Act. However, evidence supporting its use is mixed with few large-scale, rigorous evaluations of P4P. This study tests the effect of P4P on quality of care in a large-scale setting-the implementation of P4P for nursing homes by state Medicaid agencies.

Data sources/study setting

2001-2009 nursing home Minimum Data Set and Online Survey, Certification, and Reporting (OSCAR) datasets.

Study design

Between 2001 and 2009, eight state Medicaid agencies adopted P4P programs in nursing homes. We use a difference-in-differences approach to test for changes in nursing home quality under P4P, taking advan

SUBMITTER: Werner RM 

PROVIDER: S-EPMC3657568 | biostudies-literature | 2013 Aug

REPOSITORIES: biostudies-literature