Medicaid payment and risk-adjusted nursing home quality measures

Health Affairs
David C GrabowskiVincent Mor

Abstract

Various studies have observed low quality in the nursing home industry. Although Medicaid is the dominant payer of U.S. nursing home services, the association of Medicaid payment rates and quality is not entirely clear, in part because resident-level, risk-adjusted information on quality is lacking. This study examined the relationship between Medicaid payment rates and three risk-adjusted quality measures, controlling for market and facility characteristics. Higher payment was associated with lower incidence of pressure ulcers and physical restraints but not daily pain. Quality of nursing home care may suffer if budget shortfalls force state legislatures to freeze or reduce Medicaid rates.

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Citations

Oct 12, 2011·Journal of Aging & Social Policy·Kristin KlopfensteinJean Giles-Sims
Sep 5, 2009·Social Work in Public Health·James H SwanCharlene Harrington
Jul 25, 2009·Health Care Management Review·Bita A Kash, Thomas R Miller
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Jan 9, 2009·Social Science & Medicine·Jacqueline ZinnOrna Intrator
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Oct 30, 2010·Health Services Research·Orna IntratorVince Mor
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Jan 19, 2005·Medical Care·David C Grabowski
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