Do Medicaid Wage Pass-through Payments Increase Nursing Home Staffing?

被引：24

作者：

Feng, Zhanlian ^{[1
]}

Lee, Yong Suk ^{[2
]}

Kuo, Sylvia ^{[1
]}

Intrator, Orna ^{[1
,3
]}

Foster, Andrew ^{[2
]}

Mor, Vincent ^{[4
]}

机构：

[1] Brown Univ, Ctr Gerontol & Hlth Care Res, Providence, RI 02912 USA

[2] Brown Univ, Dept Econ, Providence, RI 02912 USA

[3] Providence VA Med Ctr, Providence, RI USA

[4] Brown Univ, Dept Community Hlth, Providence, RI 02912 USA

来源：

HEALTH SERVICES RESEARCH | 2010年 / 45卷 / 03期

关键词：

Medicaid; wage pass-through; direct-care staff; nursing homes;

D O I：

10.1111/j.1475-6773.2010.01109.x

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：

Objective To assess the impact of state Medicaid wage pass-through policy on direct-care staffing levels in U.S. nursing homes. Data Sources Online Survey Certification and Reporting (OSCAR) data, and state Medicaid nursing home reimbursement policies over the period 1996-2004. Study Design A fixed-effects panel model with two-step feasible-generalized least squares estimates is used to examine the effect of pass-through adoption on direct-care staff hours per resident day (HPRD) in nursing homes. Data Collection/Extraction Methods A panel data file tracking annual OSCAR surveys per facility over the study period is linked with annual information on state Medicaid wage pass-through and related policies. Principal Findings Among the states introducing wage pass-through over the study period, the policy is associated with between 3.0 and 4.0 percent net increases in certified nurse aide (CNA) HPRD in the years following adoption. No discernable pass-through effect is observed on either registered nurse or licensed practical nurse HPRD. Conclusions State Medicaid wage pass-through programs offer a potentially effective policy tool to boost direct-care CNA staffing in nursing homes, at least in the short term.

引用

页码：728 / 747

页数：20

共 27 条

[1] Baughman R., 2007, The Labor Market for Direct Care Workers
[2] *BDO SEIDM, 2007, REP SHORTF MED FUND
[3] How much should we trust differences-in-differences estimates?
Bertrand, M
Duflo, E
Mullainathan, S
[J]. QUARTERLY JOURNAL OF ECONOMICS, 2004, 119 (01) : 249 - 275
[4] Unnatural experiments? Estimating the incidence of endogenous policies
Besley, T
Case, A
[J]. ECONOMIC JOURNAL, 2000, 110 (467) : F672 - F694
[5] Systematic review of studies of staffing and quality in nursing homes
Bostick, Jane E.
Rantz, Marilyn J.
Flesner, Marcia K.
Riggs, C. Jo
[J]. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2006, 7 (06) : 366 - 376
[6] CARLSON E, 2003, PAYMENT DUE CALIFORN
[7] Centers for Medicare and Medicaid Services, 2000, C APPR MIN NURS STAF
[8] Centers for Medicare & Medicaid Services, 2001, C APPR MIN NURS STAF
[9] Medicaid payment rates, case-mix reimbursement, and nursing home staffing - 1996-2004
Feng, Zhanlian
Grabowski, David C.
Intrator, Orna
Zinn, Jacqueline
Mor, Vincent
[J]. MEDICAL CARE, 2008, 46 (01) : 33 - 40
[10] The effect of state Medicaid case-mix payment on nursing home resident acuity
Feng, Zhanlian
Grabowski, David C.
Intrator, Orna
Mor, Vincent
[J]. HEALTH SERVICES RESEARCH, 2006, 41 (04) : 1317 - 1336

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