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来源类型Working Paper
规范类型报告
DOI10.3386/w24133
来源IDWorking Paper 24133
Incentivizing Better Quality of Care: The Role of Medicaid and Competition in the Nursing Home Industry
Martin B. Hackmann
发表日期2017-12-18
出版年2017
语种英语
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 8.8% following a universal 10% 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.
主题Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance
URLhttps://www.nber.org/papers/w24133
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/581806
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Martin B. Hackmann. Incentivizing Better Quality of Care: The Role of Medicaid and Competition in the Nursing Home Industry. 2017.
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