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Nursing Home Quality as a Public Good

Author

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  • David C. Grabowski
  • Jonathan Gruber
  • Joseph J. Angelelli

Abstract

There has been much debate among economists about whether nursing home quality is a public good across Medicaid and private-pay patients within a common 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-patient 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 our various identification strategies, the results generally support the idea that quality is a public good within nursing homes. That is, within a common nursing home, there is very little evidence to suggest that Medicaid-funded residents receive consistently lower quality care relative to their private-paying counterparts.

Suggested Citation

  • David C. Grabowski & Jonathan Gruber & Joseph J. Angelelli, 2006. "Nursing Home Quality as a Public Good," NBER Working Papers 12361, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:12361
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    References listed on IDEAS

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    Cited by:

    1. Kaestner, Robert & Guardado, Jose, 2008. "Medicare reimbursement, nurse staffing, and patient outcomes," Journal of Health Economics, Elsevier, vol. 27(2), pages 339-361, March.
    2. David C. Grabowski, & David G. Stevenson & Haiden A. Huskamp & Nancy L. Keating, 2005. "The Influence of Medicare Home Health Payment Incentives: Does Payer Source Matter?," PGDA Working Papers 0605, Program on the Global Demography of Aging.

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    More about this item

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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