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

International Journal of Public Policy

Volumn 1, Issue 4, 2006, Pages 421-434

  Unruh, Lynn ^a   Zhang, Ning Jackie ^a   Wan, Thomas T H ^a  

^a UNIVERSITY OF CENTRAL FLORIDA   (United States)

Author keywords

nurse staffing; policy impact; quality of care; reimbursement changes

Indexed keywords

EID: 33750501718     PISSN: 17400600     EISSN: 17400619     Source Type: Journal    
DOI: 10.1504/IJPP.2006.010847     Document Type: Article

References (30)

1. Aaronson, W., Zinn, J. and Rosko, M. (1994) ‘Do for-profit and not-for-profit nursing homes behave differently?’, The Gerontologist, Vol. 34, No. 6, pp.775–586.
2. Angelelli, J., Gifford, D., Intrator, O., Gonzalo, P., Laliberte, L. and Mor, V. (2002) ‘Access to postacute nursing home care before and after the BBA’, Health Affairs, Vol. 21, No. 5, pp.254–265.
3. Castle, N. and Fogel, B. (1998) ‘Characteristics of nursing homes that are restraint free’, The Gerontologist, Vol. 38, No. 2, pp.181–188.
4. Cohen, J.W. and Dubay, L.C. (1990) ‘The effects of Medicaid reimbursement method and ownership on nursing home costs, case mix, and staffing’, Inquiry, Vol. 27, pp.183–200.
5. Cohen, J.W. and Spector, W.D. (1996) ‘The effect of Medicaid reimbursement on quality of care in nursing homes’, Journal of Health Economics, Vol. 15, pp.23–48.
6. Fries, B.E., Schneider, D., Foley, W., Gavazzi, M., Burke, R. and Cornelius, E. (1994) ‘Refining a case-mix measure for nursing homes: resource utilization groups (RUGS-III)’, Medical Care, Vol. 32, pp.668–685.
7. GAO (Government Accounting Office) (2002a) ‘Skilled nursing facilities: available data show average nursing staff time changed little after Medicare payment increase’. GAO-03-176. Available from: http://www.gao.gov/new.items/d03176.pdf.
8. GAO (Government Accounting Office) (2002b) ‘Skilled nursing facilities: Medicare payments exceed costs for most but not all facilities’, GAO-03-183. Available from: http://www.gao.gov/new.items/d03183.pdf.
9. Graber, D.R. and Sloane, P.D. (1995) ‘Nursing home survey deficiencies for physical restraint use’, Medical Care, Vol. 33, No. 10, pp.1051–1063.
10. Grabowski, D.C. (2001a) ‘Does an increase in the Medicaid reimbursement rate improve nursing home quality?’, Journal of Gerontology: Social Sciences, Vol. 56, No. 2, pp.84–93.
11. Grabowski, D.C. (2001b) ‘Medicaid reimbursement and the quality of nursing home care’, Journal of Health Economics, Vol. 20, pp.549–569.
12. Grabowski, D.C. (2004) ‘A longitudinal study of Medicaid payment, private-pay price and nursing home quality’, International Journal of Healthcare Finance and Economics, Vol. 4, pp.5–26.
13. Grabowski, D.C. and Angelelli, J.J. (2004) ‘The relationship of Medicaid payment rates, bed constraint policies, and risk–adjusted pressure ulcers’, Health Services Research, Vol. 39, No. 4, pp.792–812.
14. Grabowski, D.C., Angelelli, J.J. and Mor, V. (2004b) ‘Medicaid payment and risk-adjusted nursing home quality measures’, Health Affairs, Vol. 23, No. 5, pp.243–261.
15. Grabowski, D.C., Feng, Z., Intrator, O. and Mor, V. (2004a) ‘Recent trends in state nursing home payment policies’, Health Affairs, Web Exclusive, June 16, 2004, pp.363–373.
16. Grimaldi, P.L. (1999) ‘New skilled nursing facility payment scheme boosts Medicare risk’, Journal of Healthcare Finance, Vol. 2, No. 3, pp.1–9.
17. Harrington, C. (2001) ‘Nursing facility staffing policy: a case study for political change’, Policy, Politics and Nursing Practice, Vol. 2, No. 2, pp.117–127.
18. Harrington, C., Carrillo, H, Thollaug, S.C., Summers, P.R. and Wellin, V. (2000b) Nursing Facilities, Staffing, Residents, and Facility Deficiencies, 1993 Through 1999, US HCFA, #18-C-90034 and AHCPR, #HS07574, October.
19. Harrington, C., Woolhandler, S., Mullan, J., Carrillo, H. and Himmelstein, M. (2001) ‘Does investor ownership of nursing homes compromise the quality of care?’, American Journal of Public Health, Vol. 91, No. 9, pp.1452–1455.
20. Harrington, C., Zimmerman, D., Karon, S., Robinson, J. and Beutel, P. (2000a) ‘Nursing home staffing and its relationship to deficiencies’, Journal of Gerontology, Vol. 55B, No. 5, pp.S278–S287.
21. Johnson-Pawlson, J. and Infeld, D. (1996) ‘Nurse staffing and quality of care in nursing facilities’, Journal of Gerontological Nursing, Vol. 22, No. 8, pp.36–45.
22. Konetzka, T.R., Yi, D., Norton, E.C. and Kilpatrick, K.E. (2004) ‘Effects of Medicare payment changes on nursing home staffing and deficiencies’, Health Services Research, Vol. 39, No. 3, pp.463–487.
23. McCall, N., Korb, J., Peterson, A. and Moore, S. (2003) ‘Reforming Medicare payment: early effects of the 1997 balanced budget act on postacute care’, The Milbank Quarterly, Vol. 81, No. 2, pp.277–303.
24. Mullan, J. and Harrington, C. (2001) ‘Nursing home deficiencies in the United States’, Research on Aging, Vol. 23, No. 5, pp.503–531.
25. Nyman, J.A. (1988) ‘Improving the quality of nursing home outcomes; are adequacy- or incentive-oriented policies more effective?’, Medical Care, Vol. 26, No. 12, pp.1158–1171.
26. O’Neill, C., Harrington, C., Kitchener, M. and Saliba, D. (2003) ‘Quality of care in nursing homes: an analysis of relationships among profit, quality and ownership’, Medical Care, Vol. 41, No. 12, pp.1318–1330.
27. Spector, W., Selden, T. and Cohen, J. (1998) ‘The impact of ownership type on nursing home outcomes’, Health Economics, Vol. 7, No. 7, pp.639–653.
28. Swan, J.H., Harrington, C., Clemena, W., Pickard, R.B., Studer, L. and deWit, S.K. (2000) ‘Medicaid nursing facility reimbursement methods: 1979–1997’, Medical Care Research and Review, Vol. 57, No. 3, pp.361–378.
29. Zhang, X. and Grabowski, D.C. (2004) ‘Nursing home staffing and quality under the nursing home reform act’, The Gerontologist, Vol. 44, No. 1, pp.13–23.
30. Zinn, J., Aaronson, W. and Rosko, M. (1993) ‘Variations in the outcomes of care provided in Pennsylvania nursing homes’, Medical Care, Vol. 31, No. 6, pp.475–487.