Ownership conversion and closure in the nursing home industry
AbstractOwnership conversions and closures in the nursing home literature have largely been treated as separate issues. This paper studies the predictors of nursing home ownership conversions and closure in a common framework after the implementation of the Prospective Payment System in Medicare skilled nursing facilities. The switch in reimbursement regimes impacted facilities with greater exposure to Medicare and lower efficiency. Facilities that faced greater financial difficulty were more likely to be involved in an ownership conversion or closure, but after controlling for other factors the effect of exposure to Medicare is small. Further, factors that predict conversion were found to vary between not-for‐profit and for‐profit facilities, while factors that predict closure were the same for each ownership type. Copyright (C) 2010 John Wiley & Sons, Ltd.
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Bibliographic InfoArticle provided by John Wiley & Sons, Ltd. in its journal Health Economics.
Volume (Year): 20 (2011)
Issue (Month): 6 (June)
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Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749
not‐for‐profit ; for‐profit ; closure ; conversion ; nursing homes ;
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- Martin Gaynor & Robert J. Town, 2011. "Competition in Health Care Markets," NBER Working Papers 17208, National Bureau of Economic Research, Inc.
- Aaron J. Sojourner & Robert J. Town & David C. Grabowski & Michelle M. Chen, 2012. "Impacts of Unionization on Employment, Product Quality and Productivity: Regression Discontinuity Evidence From Nursing Homes," NBER Working Papers 17733, National Bureau of Economic Research, Inc.
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