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Do Report Cards Predict Future Quality? The Case of Skilled Nursing Facilities / Portia Y. Cornell, David C. Grabowski, Edward C. Norton, Momotazur Rahman.
- Format:
- Book
- Author/Creator:
- Cornell, Portia Y.
- Series:
- Working Paper Series (National Bureau of Economic Research) no. w25940.
- NBER working paper series no. w25940
- Language:
- English
- Physical Description:
- 1 online resource: illustrations (black and white);
- Place of Publication:
- Cambridge, Mass. National Bureau of Economic Research 2019.
- Summary:
- Report cards on provider performance are intended to improve consumer decision-making and address information gaps in the market for quality. However, inadequate risk adjustment of report-card measures often biases comparisons across providers. We test whether going to a skilled nursing facility (SNF) with a higher star rating affects outcomes for a patient. We exploit variation over time in the distance from a patient's residential ZIP code to SNFs with different ratings to estimate the causal effect of admission to a higher-rated SNF on health care outcomes, including mortality. We found that patients who go to higher-rated SNFs experience lower mortality, fewer days in the nursing home, and fewer hospital readmissions.
- Notes:
- Print version record
- June 2019.
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