Advanced Search
MyIDEAS: Login

The impact of Medicare reimbursement changes on staffing and the quality of care in nursing homes

Contents:

Author Info

  • Lynn Unruh
  • Ning Jackie Zhang
  • Thomas T.H. Wan
Registered author(s):

    Abstract

    This study assesses the impact of recent Medicare reimbursement changes on nurse staffing and quality of care in skilled nursing facilities. We utilise data from the Online Survey Certification and Reporting System and Area Resource Files for the years 1997–2003. The impacts of the reimbursement changes on licensed nurse hours per resident day and on a quality index were estimated, controlling for facility and market factors, and including interaction between payer mix and policy. We find that the 1997 Balanced Budget Act had a negative effect on staffing and quality while the 1999 Balanced Budget Reconciliation Act and the 2000 Benefits Improvement and Protection Act had positive effects on staffing and quality. The percentage of Medicaid patients was a strong contributor to lower staffing and quality, and moderated the effects of all three policies. The results should be useful for policy makers considering cuts in Medicare or Medicaid spending for nursing homes.

    Download Info

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
    File URL: http://www.inderscience.com/link.php?id=10847
    Download Restriction: Access to full text is restricted to subscribers.

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Bibliographic Info

    Article provided by Inderscience Enterprises Ltd in its journal Int. J. of Public Policy.

    Volume (Year): 1 (2006)
    Issue (Month): 4 ()
    Pages: 421-434

    as in new window
    Handle: RePEc:ids:ijpubp:v:1:y:2006:i:4:p:421-434

    Contact details of provider:
    Web page: http://www.inderscience.com/browse/index.php?journalID=97

    Related research

    Keywords: nurse staffing; policy impact; quality of care; Medicare; reimbursement changes; public policy; USA; United States; nursing homes.;

    References

    No references listed on IDEAS
    You can help add them by filling out this form.

    Citations

    Lists

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    Statistics

    Access and download statistics

    Corrections

    When requesting a correction, please mention this item's handle: RePEc:ids:ijpubp:v:1:y:2006:i:4:p:421-434. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Graham Langley).

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.