Nursing home care under Medicaid managed long-term services and supports.

ABSTRACT:

Objective

To measure the impact of Medicaid managed long-term services and supports (MLTSS) on nursing home (NH) quality and rebalancing.

Data sources/study setting

This study analyzes secondary data from annual NH recertification surveys and the minimum dataset (MDS) in three states that implemented MLTSS: Massachusetts (2001-2007), Kansas and Ohio (2011-2017).

Study design

We utilized a difference-in-difference approach comparing NHs in border counties of states that implemented MLTSS with a control group of NHs in neighboring border counties in states that did not implement MLTSS. Sensitivity analyses included a triple-difference model (stratified by Medicaid payer mix) and a within-state comparison. We examined changes in six NH-level outcomes (percentage of low-c

SUBMITTER: Potter AJ 

PROVIDER: S-EPMC8586477 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature