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Medicaid Nursing Facility Utilization

Kitchener, Martin James, Swan, James H. and Harrington, Charlene 2006. Medicaid Nursing Facility Utilization. Research on Aging 28 (4) , pp. 493-514. 10.1177/0164027506287790

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Abstract

This study uses a longitudinal California data set (1995 to 2000) to address two concerns about Medicaid nursing facility (NF) utilization. First, to consider the impact of national cost-control policies, the authors analyze data trends in Medicaid NF participants, days of care, and expenditures. Second, the authors investigate the percentage of Medicaid days of care (%MDOC) using a panel regression model to consider resident, facility, and county market predictors. The findings show that although statewide Medicaid NF participants, expenditures, and%MDOC remain stable, Medicaid market segmentation persistes, with program participants distributed unevenly among facilities. Factors associated positively with facility%MDOC are the proportion of minority residents, a larger facility size, for-profit status, the percentage of aged Black persons in the county, and market concentration. The factors associated negatively with%MDOC are the percentages of resident men, residents aged 85 or older, residents with Alzheimer’s disease, Medicaid reimbursement rates, and county wealth.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Business (Including Economics)
Subjects: H Social Sciences > HD Industries. Land use. Labor
H Social Sciences > HJ Public Finance
J Political Science > JK Political institutions (United States)
R Medicine > RA Public aspects of medicine
R Medicine > RT Nursing
Uncontrolled Keywords: Nursing homes; access; Medicaid; policy
Publisher: SAGE Publications
ISSN: 0164-0275
Last Modified: 04 Jun 2017 04:32
URI: http://orca.cf.ac.uk/id/eprint/40594

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