Centre for Policy on Ageing
 

 

Medicaid nursing facility utilization
Author(s)Martin Kitchener, James H Swan, Charlene Harrington
Journal titleResearch on Aging, vol 28, no 4, July 2006
Pagespp 493-514
Sourcehttp://www.sagepublications.com
KeywordsNursing homes ; Usage [services] ; Longitudinal surveys ; United States of America.
AnnotationA longitudinal data set for California (1995-2000) was used to examine two concerns regarding Medicaid nursing facility (NF) usage. First, to consider the impact of national cost control policies, the authors analysed data trends in Medicaid NF participants, days of care and expenditures. Second, they investigated the percentage of Medicaid days of care (%MDOC) using a panel regression model to consider resident, facility and county market predictors. The findings show that although statewide Medicaid NF participants, expenditure and %MDOC remain stable, Medicaid market segmentations persists, with programme participants distributed unevenly among facilities. Factors associated positively with %MDOC are the proportion of minority residents, a larger facility size, for-profit status, the percentage of older Blacks in the county, and market concentration. The factors associated negatively with %MDOC are the percentages of resident men, residents aged 85+, residents with Alzheimer's disease (AD), Medicaid reimbursement rates, and county wealth. (RH).
Accession NumberCPA-060922204 A
ClassmarkLHB: QLD: 3J: 7T

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