How Does Medicaid Reimbursement Impact Nursing Home Quality? The Effects of Small Anticipatory Changes.

ABSTRACT:

Objective

In 2006, Ohio changed its Medicaid reimbursement methodology for nursing homes (NHs) to promote more efficient staffing levels. This study examines the impacts of this policy change on quality.

Research design and subjects

Ohio NHs were categorized based on their anticipated change in reimbursement under a new reimbursement system initiated in 2006. Linear regressions were utilized to determine how quality changed from 2006 to 2010 relative to a group of NHs that were not anticipated to experience any significant change in reimbursement. We examine resident outcomes constructed from the Minimum Data Set, deficiency citations, staffing levels, and satisfaction scores for residents and families as measures of quality.

Principal findings

Nursing homes in the gr

SUBMITTER: Bowblis JR 

PROVIDER: S-EPMC5583301 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature