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Nursing Home Quality as a Common Good

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Author Info

  • David C. Grabowski

    (Harvard University)

  • Jonathan Gruber

    (Massachusetts Institute of Technology)

  • Joseph J. Angelelli

    (Paraprofessional Healthcare Institute)

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    Abstract

    A long-standing assumption among economists is that nursing home quality is common across Medicaid and private-pay patients within a shared facility. However, there has been only limited empirical work addressing this issue. Using a unique individual-level panel of residents of nursing homes from seven states, we exploit both within-facility and within-person variation in payer source and quality to examine this issue. We also test the robustness of these results across states with different Medicaid and private-pay rate differentials. Across various identification strategies, our results are consistent with the assumption of common quality across Medicaid and private-paying patients within facilities. Copyright by the President and Fellows of Harvard College and the Massachusetts Institute of Technology.

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    File URL: http://www.mitpressjournals.org/doi/pdf/10.1162/rest.90.4.754
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    Bibliographic Info

    Article provided by MIT Press in its journal The Review of Economics and Statistics.

    Volume (Year): 90 (2008)
    Issue (Month): 4 (November)
    Pages: 754-764

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    Handle: RePEc:tpr:restat:v:90:y:2008:i:4:p:754-764

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    Web page: http://mitpress.mit.edu/journals/

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    Web: http://mitpress.mit.edu/journal-home.tcl?issn=00346535

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