biostudies-literatureUnknown56(6)Potter AJ<h4>Objective</h4>To measure the impact of Medicaid managed long-term services and supports (MLTSS) on nursing home (NH) quality and rebalancing.<h4>Data sources/study setting</h4>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).<h4>Study design</h4>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-cHealth services research1179-1189https://www.ebi.ac.uk/biostudies/studies/S-EPMC8586477biostudies-literatureNursing home care under Medicaid managed long-term services and supports.PMC8586477Potter AJBowblis JRfalseNursing home care under Medicaid managed long-term services and supports.<h4>Objective</h4>To measure the impact of Medicaid managed long-term services and supports (MLTSS) on nursing home (NH) quality and rebalancing.<h4>Data sources/study setting</h4>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).<h4>Study design</h4>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-c2021-01-01T00:00:00Z2021 Dec2025-04-05T09:43:59.126Z2025-04-05T09:43:59.126ZS-EPMC85864773426345010.1111/1475-6773.13701