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Centre for Policy on Ageing | |
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Do Medicaid incentive payments boost quality?
— Florida's direct care staffing adjustment program | | Author(s) | Kathryn Hyer, Kali S Thomas, Christopher E Johnson |
| Journal title | Journal of Aging and Social Policy, vol 25, no 1, January-March 2013 |
| Publisher | Taylor & Francis, January-March 2013 |
| Pages | pp 65-82 |
| Source | http://www.tandfonline.com |
| Keywords | Nursing homes ; Finance [care] ; Management [care] ; Quality ; United States of America. |
| Annotation | Beginning in April 2000 and continuing for 21 months, Florida's legislature allocated $31.6 million (annualised) to nursing homes through a Medicaid direct care staffing adjustment. Florida's legislature paid the highest incentives to nursing homes with the lowest staffing levels and the greatest percentage of Medicaid residents _ the bottom tier of quality. Using Donabedian's structure-process-outcomes framework, this study tracks changes in staffing, wages, process of care, and outcomes. The incentive payments increased staffing and wages in nursing home processes (decreased restraint use and feeding tubes) for the facilities receiving the largest amount of money, but there was no change in the prevalence of pressure sores or decline in activities of daily living (ADLs). The group receiving the lowest incentives payment (those highest staffed at baseline) saw significant improvement in two measures: pressure sores and decline in activities of daily living. All providers receiving more resources improved on deficiency scores, suggesting that more Medicaid spending improves quality of care, regardless of total incentive payments. (RH). |
| Accession Number | CPA-130823259 A |
| Classmark | LHB: QC: QA: 59: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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