Association of Pay-for-Performance Reimbursement With Clinical Quality for Minnesota Nursing Homes Residents

被引：0

作者：

Loomer, Lacey ^{[1
,2
]}

Dauner, Kim Nichols ^{[1
]}

Schultz, Jennifer ^{[1
]}

机构：

[1] Univ Minnesota Duluth, Duluth, MN USA

[2] Univ Minnesota Duluth, Labovitz Sch Business & Management, Dept Econ & Hlth Care Management, Duluth, MN 55812 USA

来源：

MEDICAL CARE RESEARCH AND REVIEW | 2023年 / 80卷 / 05期

关键词：

pay-for-performance; nursing homes; Medicaid; OF-CARE; MEDICARE; INCENTIVES; PAYMENT;

D O I：

10.1177/10775587231170064

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

In 2016, Minnesota implemented a new pay-for-performance reimbursement scheme for Medicaid residents in nursing homes, known as Value-Based Reimbursement (VBR). This study seeks to understand whether there is an association between VBR and quality improvement. We use data from 2013 to 2019 including Centers for Medicare and Medicaid Services, Nursing Home Compare, and Long-term care Facts in the US. Using multivariate regression with commuting zone fixed effects, we compare five long-stay and two short-stay clinical quality metrics in Minnesota nursing homes to nursing homes bordering states, before and after VBR was implemented. We find minimal significant changes in quality in Minnesota nursing homes after VBR. Minnesota should reconsider its pay-for-performance efforts.

引用

页码：484 / 495

页数：12

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