Medicare reimbursement, nurse staffing, and patient outcomes

Journal of Health Economics
Robert Kaestner, Jose Guardado

Abstract

There is widespread concern about the quality of health care in the US, and the effect of provider payments on the quality of care is an important and unsettled issue in this debate. The critical question is whether changes in provider payments affect health. To date there is relatively little research on this question. Here, we present evidence of the effect of plausibly exogenous changes in Medicare reimbursement--caused by geographical reclassification--on hospital staffing (nurses) and patient outcomes. We find that changes in Medicare reimbursement levels of approximately 10% have no meaningful effect on hospital use of resources or patient outcomes.

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Citations

Dec 16, 2010·Medical Care Research and Review : MCRR·Kristin L ReiterBarbara Mark
Dec 14, 2011·Health Services Research·Kristin L ReiterBarbara A Mark
Sep 3, 2013·Journal of Advanced Nursing·Robert G Drake
Jun 19, 2013·Health Economics·John R Bowblis, Christopher S Brunt
May 23, 2014·Health Services Research·Vivian Y Wu, Yu-Chu Shen
May 18, 2017·Health Economics·Arndt R Reichert, Magdalena A Stroka
Dec 8, 2010·Dimensions of Critical Care Nursing : DCCN·Valerie Eschiti, Patti Hamilton
Nov 25, 2017·International Journal of Health Economics and Management·Peter McHenry, Jennifer Mellor

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