Incentivizing Better Quality of Care: The Role of Medicaid and Competition in the Nursing Home Industry / Martin B. Hackmann.

Format:

Book

Author/Creator:

Hackmann, Martin B.

Contributor:

National Bureau of Economic Research.

Series:

Working Paper Series (National Bureau of Economic Research) no. w24133.

NBER working paper series no. w24133

Language:

English

Physical Description:

1 online resource: illustrations (black and white);

Other Title:

Incentivizing Better Quality of Care

Place of Publication:

Cambridge, Mass. National Bureau of Economic Research 2017.

Summary:

This paper develops a model of the nursing home industry to investigate the quality effects of policies that either raise regulated reimbursement rates or increase local competition. Using data from Pennsylvania, I estimate the parameters of the model. The findings indicate that nursing homes increase the quality of care, measured by the number of skilled nurses per resident, by 8.8% following a universal 10% increase in Medicaid reimbursement rates. In contrast, I find that pro-competitive policies lead to only small increases in skilled nurse staffing ratios, suggesting that Medicaid increases are more cost effective in raising the quality of care.

Notes:

Print version record

December 2017.