Incremental cost of postacute care in nursing homes

Health Services Research

Volumn 46, Issue 1 PART 1, 2011, Pages 105-119

  Spector, William D ^a   Limcangco, Maria Rhona ^b   Ladd, Heather ^c   Mukamel, Dana ^c  

^a AGENCY FOR HEALTHCARE RESEARCH AND QUALITY   (United States)

^b SOCIAL AND SCIENTIFIC SYSTEMS INC   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Health care costs; instrumental variables; Medicare

Indexed keywords

ARTICLE; COST BENEFIT ANALYSIS; COST OF ILLNESS; EMERGENCY CARE; HUMAN; MEDICAID; NURSING HOME;

AGED; CALIFORNIA; DIAGNOSIS-RELATED GROUPS; HEALTH SERVICES RESEARCH; HOMES FOR THE AGED; HUMANS; MEDICARE; MODELS, ECONOMIC; NURSING HOMES; QUALITY OF HEALTH CARE; SKILLED NURSING FACILITIES; UNITED STATES;

EID: 78650983975     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/j.1475-6773.2010.01189.x     Document Type: Article

References (22)

1. Baser, O., 2007. " Modeling Transformed Health Care Cost with Unknown Heteroskedasticity. Applied Economic Research 1: 1-6.
2. Centers for Medicare and Medicaid (CMS). 2005. " Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2006: Final Rule. Federal Register 70 (149): 45025-127.
3. Centers for Medicare and Medicaid (CMS). 2008. "Chapter 8-Coverage of Extended Care (SNF) Services under Hospital Insurance. Medicare Benefit Policy Manual" [accessed on May 4, 2010]. Available at
4. Centers for Medicare and Medicaid (CMS). 2009. " Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2010; Minimum Data Set, Version 3.0 for Skilled Nursing Facilities and Medicaid Nursing Facilities. Federal Register 74 (153): 40288-395.
5. Feng, Z., D. Grabowski, O. Intrator, and, V. Mor,. 2006. " The Effect of State Medicaid Case-Mix Payment on Nursing Home Resident Acuity. Health Services Research 41 (4, part 1): 1317-36.
6. Fries, B. E., D. P. Schneider, W. J. Foley, M. Gavazzi, R. Burke, and, E. Cornelius,. 1994. " Refining a Case-Mix Measure for Nursing Homes: Resource Utilization Groups (RUG-III). Medical Care 32 (7): 668-85.
7. GAO. 2002. Skilled Nursing Facilities: Medicare Payments Exceed Costs for Most But Not All Facilities (GAO-03-183). Washington, DC: U.S. Government Printing Office.
8. Grannemann, W., S. Brown, and, M. V. Pauly,. 1986. " Estimating Hospital Costs: A Multiple Output Analysis. Journal of Health Economics 5 (2): 107-27.
9. Harrington, C., J. H. Swan, and, H. Carrillo,. 2007. " Nurse Staffing Levels and Medicaid Reimbursement Rates in Nursing Facilities. Health Services Research 42 (3): 1105-29.
10. HCUP Databases. 2005. Healthcare Cost and Utilization Project (HCUP). Rockville, MD: Agency for Healthcare Research and Quality. Available at.
11. Kaiser Commission on Medicaid and the Uninsured. 2009. "Medicaid and Long-Term Care Services and Supports" [accessed on November 4, 2010]. Available at
12. Medicare Payment Advisory Commission (MedPAC). 2007. "Report to the Congress: Promoting Greater Efficiency in Medicare" [accessed on November 4, 2010]. Available at
13. Medicare Payment Advisory Commission (MedPAC). 2008. "A Data Book: Healthcare Spending and the Medicare Program" [accessed on November 4, 2010]. Available at
14. Medicare Payment Advisory Commission (MedPAC). 2009a. "Comment Letter to CMS Re: Revising the SNF Prospective Payment System" [accessed on November 4, 2010]. Available at
15. Medicare Payment Advisory Commission (MedPAC). 2009b. "Skilled Nursing Facility Services Payment Basics Payment System" [accessed on November 4, 2010]. Available at
16. Mukamel, D. B., and, W. D. Spector,. 2000. " Nursing Home Costs and Risk Adjusted Outcome Measures of Quality. Medical Care 38 (1): 78-89.
17. Nyman, J. A., 1988. " The Marginal Cost of Nursing Home Care. Journal of Health Economics 7 (4): 393-412.
18. Rudder, C., R. Mollot, and, B. Mathuria,. 2009. "Modifying the Case-Mix Medicaid Nursing Home System to Encourage Quality, Access and Efficiency" [accessed on November 4, 2010]. Available at
19. Schlenker, R. E., 1986. " Case Mix Reimbursement for Nursing Homes. Journal of Health Politics Policy and Law 11 (3): 445-61.
20. Stocks, J. H., and, M. Yogo,. 2005. " Testing for Weak Instruments in Linear IV Regression." In Identification and Inference for Econometric Models: Essays in Honor of Thomas Rothenberg, edited by, D. W. K. Andrews, and, J. H. Stock, pp. 80-108. Cambridge, England: Cambridge University.
21. White, C., S. D. Pizer, and, A. J. White,. 2002. " Assessing the RUG-III Resident Classification System for Skilled Nursing Facilities. Health Care Financing Review 24 (2): 7-15.
22. Zdeb, M., 2010. "Driving Distances and Times Using SAS® and Google Maps" [accessed on March 10, 2010]. Available at