The relationship of Medicaid payment rates, bed constraint policies, and risk-adjusted pressure ulcers

Health Services Research
David C Grabowski, Joseph Angelelli

Abstract

To examine the effect of Medicaid reimbursement rates on nursing home quality in the presence of certificate-of-need (CON) and construction moratorium laws. A single cross-section of Medicaid certified nursing homes in 1999 (N = 13,736). A multivariate regression model was used to examine the effect of Medicaid payment rates and other explanatory variables on risk-adjusted pressure ulcer incidence. The model is alternatively considered for all U.S. nursing home markets, those most restrictive markets, and those high-Medicaid homes to isolate potentially resource-poor environments. A merged data file was constructed with resident-level information from the Minimum Data Set, facility-level information from the On-Line, Survey, Certification, and Reporting (OSCAR) system and market- and state-level information from various published sources. In the analysis of all U.S. markets, there was a positive relationship between the Medicaid payment rate and nursing home quality. The results from this analysis imply that a 10 percent increase in Medicaid payment was associated with a 1.5 percent decrease in the incidence of risk-adjusted pressure ulcers. However, there was a limited association between Medicaid payment rates and quality in ...Continue Reading

References

Jul 1, 1994·Journal of Gerontology·J N MorrisL A Lipsitz
Apr 1, 1994·Journal of the American Geriatrics Society·G H BrandeisL A Lipsitz
Jan 8, 1996·Journal of Health Economics·J W Cohen, W D Spector
Jan 21, 2000·Journal of the American Geriatrics Society·D R BerlowitzJ J Anderson
Mar 14, 2001·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·D C Grabowski
Jul 21, 2001·Journal of Health Economics·D C Grabowski
Jun 3, 2004·International Journal of Health Care Finance and Economics·David C Grabowski

❮ Previous
Next ❯

Citations

Jan 16, 2014·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·David C MarkelRalph B Blasier
Sep 5, 2009·Social Work in Public Health·James H SwanCharlene Harrington
Feb 3, 2006·The Gerontologist·Christine MuellerAnnika Joy
Jul 2, 2008·The Gerontologist·Nicole M Bellows, Helen A Halpin
Nov 5, 2008·The Gerontologist·Charlene HarringtonHelen Carrillo
Dec 16, 2010·Health Care Management Review·Christina D Kang-YiNicholas G Castle
Jan 5, 2008·Annual Review of Public Health·Andrea Gruneir, Vincent Mor
Dec 14, 2002·Inquiry : a Journal of Medical Care Organization, Provision and Financing·David C Grabowski
May 15, 2013·Medical Care·Shubing CaiOrna Intrator
Mar 14, 2007·Journal of the American Medical Directors Association·Vincent Mor
Oct 6, 2005·The Milbank Quarterly·Vincent Mor
Oct 10, 2006·Journal of the American Medical Directors Association·Vincent Mor
Nov 16, 2004·Clinics in Geriatric Medicine·Susan C MillerVincent Mor
May 18, 2017·Health Economics·Arndt R Reichert, Magdalena A Stroka
May 12, 2017·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Barbara M Bates-JensenAnabel Patlan
Feb 3, 2009·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Robert Weech-MaldonadoWilliam Mkanta
Apr 7, 2007·Journal of Aging and Health·James H Swan, Charlene Harrington
Sep 23, 2010·Medical Care·David C Grabowski
Aug 27, 2019·Journal of the American Geriatrics Society·Yoland F PhilpottsMatthew R Baldwin
Jun 3, 2005·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Siva NarayananMikel Gray
May 8, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Mikaela JorgensenJohanna I Westbrook
Aug 17, 2020·BMC Health Services Research·Christopher J Conover, James Bailey

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.