Context: Hospital cost shifting—charging private payers more in response to shortfalls in
public payments—has long been part of the debate over health care policy. Despite the …

Nursing home care is currently a two‐tiered system. The lower tier consists of facilities
housing mainly Medicaid residents and, as a result, has very limited resources. The nearly …

Many US nursing homes have serious quality problems, in part, because of inadequate
levels of nurse staffing. This commentary focuses on two issues. First, there is a need for …

Objective To examine the effect of the COVID-19 pandemic on post-acute care utilization
and spending. Design We used a large national multi-payer claims dataset from January …

The structure of Medicare and Medicaid creates conflicting incentives regarding dually
eligible beneficiaries without coordinating their care. Both Medicare and Medicaid have an …

Background The delivery of high quality care is a fundamental goal for health systems
worldwide. One policy tool to ensure quality is the regulation of services by an independent …

Objective. We evaluate the effects of the Nursing Home Quality Initiative (NHQI), which
introduced quality measures to the Centers for Medicare and Medicaid Services' Nursing …

Objective. To study the impact of minimum direct care staffing (MDCS) requirements on
nurse staffing levels, nurse skill mix, and quality. Data Sources. US nursing home facility …

Purpose: This study examined the potential role that publicly disseminated quality report
cards can play in improving quality of care in nursing homes. Design and Methods: We …

Objective. To examine the relationship between Medicaid case‐mix payment and nursing
home resident acuity. Data Sources. Longitudinal Minimum Data Set (MDS) resident …