Incentivizing Better Quality of Care: The Role of Medicaid and Competition in the Nursing Home Industry
成果类型：
Article
署名作者：
Hackmann, Martin B.
署名单位：
University of California System; University of California Los Angeles; Leibniz Association; Ifo Institut; National Bureau of Economic Research
刊物名称：
AMERICAN ECONOMIC REVIEW
ISSN/ISSBN：
0002-8282
DOI：
10.1257/aer.20151057
发表日期：
2019
页码：
1684-1716
关键词：
摘要：
This paper develops a model of the nursing home industry to investigate the quality effects of policies that either raise regulated reimbursement rates or increase local competition. Using data from Pennsylvania, I estimate the parameters of the model. The findings indicate that nursing homes increase the quality of care, measured by the number of skilled nurses per resident, by 8.7 percent following a universal 10 percent increase in Medicaid reimbursement rates. In contrast, I find that pro-competitive policies lead to only small increases in skilled nurse staffing ratios, suggesting that Medicaid increases are more cost effective in raising the quality of care.