The Impact of Nursing Home Pay-for-Performance on Quality and Medicare Spending: Results from the Nursing Home Value-Based Purchasing Demonstration.

ABSTRACT:

Objective

To evaluate the impact of the Nursing Home Value-Based Purchasing demonstration on quality of care and Medicare spending.

Data sources/study setting

Administrative and qualitative data from Arizona, New York, and Wisconsin nursing homes over the base-year (2008-2009) and 3-year (2009-2012) demonstration period.

Study design

Nursing homes were randomized to the intervention in New York, while the comparison facilities were constructed via propensity score matching in Arizona and Wisconsin. We used a difference-in-difference analysis to compare outcomes across the base-year relative to outcomes in each of the three demonstration years. To provide context and assist with interpretation of results, we also interviewed staff members at participating facilities.

SUBMITTER: Grabowski DC 

PROVIDER: S-EPMC5517679 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature