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Medicaid nursing facility rates, capacity, and utilization: a structural analysis

Swan, James H., Kitchener, Martin James and Harrington, Charlene 2009. Medicaid nursing facility rates, capacity, and utilization: a structural analysis. Social Work in Public Health 24 (5) , pp. 380-400. 10.1080/19371910802672221

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Abstract

This analysis extends earlier work using national data to examine Medicaid nursing facility (NF) utilization (participants per aged population) and its interrelationships with Medicaid per diem NF reimbursement rates and NF bed capacity, using state-level data over 19 years to estimate two-stage structural equations. Findings demonstrate complex relationships among these factors. Reimbursement rates showed no demonstrable impact on utilization but positive effects on beds. Beds, in turn, positively predict utilization and negatively predict rates. Findings suggest that policy makers might focus on constraining Medicaid NF costs through controlling bed stock rather than by keeping rates lower, which can have untoward effects on quality and equity.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Business (Including Economics)
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
H Social Sciences > HG Finance
H Social Sciences > HJ Public Finance
J Political Science > JK Political institutions (United States)
R Medicine > RA Public aspects of medicine
Uncontrolled Keywords: Medicaid ; Nursing facility ; Reimbursement rates ; Utilization ; Bed stock
Publisher: Taylor & Francis
ISSN: 1937-1918
Last Modified: 04 Jun 2017 03:18
URI: http://orca.cf.ac.uk/id/eprint/19550

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