Related Experiment Videos
Do Medicaid wage pass-through payments increase nursing home staffing?
Zhanlian Feng1, Yong Suk Lee, Sylvia Kuo
1Center for Gerontology and Health Care Research, Brown University, 121 South Main Street, Providence, RI 02912, USA. zhanlian_feng@brown.edu
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.
Related Concept Videos
Current Trends in Nursing I
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Standards of Care I
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Standards of Care II
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...