NURSING HOME QUALITY AS A COMMON GOOD

• 成果类型: Article
• 署名作者: Grabowski, David C.; Gruber, Jonathan; Angelelli, Joseph J.
• 署名单位: Harvard University; Massachusetts Institute of Technology (MIT)
• 刊物名称: REVIEW OF ECONOMICS AND STATISTICS
• ISSN/ISSBN: 0034-6535
• DOI: 10.1162/rest.90.4.754
• 发表日期: 2008-11
• 页码: 754-764
• 关键词: medicaid patients; health-insurance; care; determinants; reimbursement; residents; outcomes; CHOICE

摘要

A long-standing assumption among economists is that nursing home quality is common across Medicaid and private-pay patients within a shared 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-person 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 various identification strategies, our results are consistent with the assumption of common quality across Medicaid and private-paying patients within facilities.