The relationship of California's medicaid reimbursement system to nurse staffing levels

Medical Care

Volumn 50, Issue 10, 2012, Pages 836-842

  Mukamel, Dana B ^a   Kang, Taewoon ^b   Collier, Eric ^b   Harrington, Charlene ^b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

incentives; nursing homes; payment; quality; staffing

Indexed keywords

ARTICLE; HEALTH CARE POLICY; HEALTH CARE QUALITY; HUMAN; MEDICAID; MEDICAL FEE; MEDICAL STAFF; NURSE; NURSING ASSISTANT; NURSING HOME; PRACTICAL NURSE; PRIORITY JOURNAL; REIMBURSEMENT; UNITED STATES;

CALIFORNIA; DIAGNOSIS-RELATED GROUPS; ECONOMIC COMPETITION; HEALTH MANPOWER; HOMES FOR THE AGED; HUMANS; MEDICAID; NURSING HOMES; NURSING STAFF; OWNERSHIP; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 84866529417     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0b013e318264e4ce     Document Type: Article

References (35)

1. Harrington C, Kovner C, Kayser-Jones J, et al. Experts recommend minimum nurse staffing standards for nursing facilities in the United States. Gerontologist. 2000;40:1-12.
2. Bostick JE, Rantz MJ, Flesner MK, et al. Systematic review of studies of staffing and quality in nursing homes. J Am Med Dir Assoc. 2006; 7:366-376.
3. Castle N. Nursing home caregiver staffing levels and quality of care: a literature review. J Applied Gerontol. 2008;27:375-405.
4. US Centers for Medicare and Medicaid Services (US CMS), Abt Associates. Appropriateness of Minimum Nurse Staffing Ratios in Nursing Homes. Report to Congress: Phase II\Final. Volumes i-iii. Baltimore, MD: US Centers for Medicare and Medicaid Services; 2001.
5. Mueller C, Arling G, Kane R, et al. Nursing home staffing standards: their relationship to nurse staffing levels. The Gerontologist. 2006;46:74-80.
6. Harrington C, Swan JH, Carrillo H. Nurse staffing levels and Medicaid reimbursement rates in nursing facilities. Health Serv Res. 2007;42:1105-1129.
7. US Centers for Medicare and Medicaid Services. Medicare nursing home compare website. Washington, DC: CMS, 2011. Available at: http://www.medicare. gov/NHCompare/Include/DataSection/Questions/HomeSelect.asp. Accessed September 2, 2011.
8. Hyer K, Slack A, Johnson CE. Florida's efforts to improve quality of nursing home care through nursing staffing standards, regulation, and Medicaid reimbursement. J Aging Soc Policy. 2009;21:318-337.
9. California Assembly Bill, 1629 (AB 1629). Medicaid long term care reimbursement act. See California Welfare and Institutions Code Section:14126-14126.035, 2004. Available at: https://www.leginfo. ca.gov/cgi-bin/postquery?bill-number = ab-1629&sess = 0304&house = B&author=frommer. Accessed February 15, 2008.
10. US Centers for Medicare and Medicaid Services. National health expenditure data for 2009. Washington, DC: CMS, 2011. Available at: https://www.cms.gov/NationalHealthExpendData/02-NationalHealth AccountsHistorical.asp#TopOfPage. Accessed September 2, 2011.
11. Mukamel DB, Schnelle J, Chang J. Evaluation of AB1629: Where did the money go? Report to the California Health Care Foundation. Irvine: University of California, 2011.
12. Cohen J, Spector W. The effect of Medicaid reimbursement on quality of care in nursing homes. J Health Econ. 1996;15:23-48.
13. Feng Z, Grabowski DC, Intrator O, et al. Medicaid payment rates, casemix reimbursement, and nursing home staffing-1996-2004. Med Care. 2008;46:33-40.
14. Grabowski DC. Medicaid reimbursement and the quality of nursing home care. J Health Econ. 2001;20:549-569.
15. Grabowksi DC. Does an increase in the Medicaid reimbursement rate improve nursing home quality? J Gerontol Soc Sci. 2001;56B:S84-S93.
16. Feng Z, Lee YS, Kuo S, et al. Do Medicaid wage pass-through payments increase nursing home staffing? Health Serv Res. 2010;45:728-747.
17. Harrington C, Swan JH. Nursing home staffing, turnover, and casemix. Med Care Res Rev. 2003;60:366-392.
18. California Office of Statewide Health Planning and Development (OSHPD). Annual Long Term Care Facility Cost Report Files. Sacramento, CA: OSHPD; 2005-2008.
19. California Department of Health Services. Long Term Care Reimbursement Update Bulletin. Sacramento, CA: CDHS; 2005:343.
20. California Department of Health Services. Long Term Care System Development Unit Webpage. Sacramento, CA: CDHS Available at: http://www.dhcs.ca.gov/services/medi-cal/Pages/LTCAB1629.aspx. Accessed June 10, 2010; 2010.
21. US Centers for Medicare and Medicaid Services (CMS). Casemix Index Prepared From Resources Utilization Groups (RUGs) for California Nursing Homes for 2005-2008. Washington, DC: CMS; 2009.
22. California Department of Public Health. Licensing and Certification Program Data. Sacramento, CA: CDPH; 2006.
23. US Centers for Medicare and Medicaid Services (CMS). On-line Survey Certification and Reporting System Data, 2006. Washington, DC: CMS; 2007.
24. Byrns TR, Stone GW. Economics. 6th ed. New York: Harper Collins College Publishers; 1995.
25. Nyman JA. Analysis of nursing home use and bed supply: Wisconsin, 1983. Health Serv Res. 1989;24:511-537.
26. US Bureau of Labor Statistics. Occupational Employment Statistics (OES), 2006. Washington, DC: BOL; 2007.
27. California Department of Finance. E-5 Population and Housing Estimates for Cities, Counties and the Atate, 2001-2008 with 2000 benchmarks. Sacramento, CA: DOF; 2008.
28. US Bureau of the Census. Female Employment Rate, Census 2000 Summary File 3. Washington, DC: BOC; 2000.
29. US Bureau of the Census. Economic Census, Health Care and Social Assistance, Geographic Area Series and Zip Code Statistics, Summary Statistics 2002. Washington, DC: BOC; 2002.
30. Spector WD, Limcangco R, Ladd H, et al. Incremental cost of post-acute care in nursing homes. Health Serv Res. 2011;46(1 pt 1):105-119.
31. Stock JH, Yogo M. Testing for Weak Instruments in Linear Regression. Washington, DC: National Bureau of Economic Research; 2002.
32. Schnelle JF, Mukamel D, Sato H, et al. Study of California's new Medical Reimbursement System for Nursing Homes. Nashville, TN: Vanderbilt University; 2008.
33. California State Auditor. Department of Health Services: it has not yet Fully Implemented Legislation Intended to Improve the Quality of Care in Skilled Nursing Facilities. Report 2006-035. Sacramento, CA: Senate Office of Research; 2007.
34. Schnelle JF, Simmons SF, Harrington C, et al. Relationship of nursing home staffing to quality of care? Health Serv Res. 2004;39:225-250.
35. US General Accounting Office (US GAO). California Nursing Homes: Care Problems Persist Despite Federal and State Oversight. Report No. US GAO/HEHS-98-202. Washington, DC: US GAO; 1998.