Health Affairs

Posting date: June 16, 2004

This Article Reprint (PDF) HTML Version Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Grabowski, D. C. Articles by Mor, V. Search for Related Content PubMed PubMed Citation Articles by Grabowski, D. C. Articles by Mor, V. Related Collections Long-Term Care Medicaid Medicare Quality Of Care State/Local Issues Health Spending Consumer Issues Elderly

Health Affairs, 10.1377/hlthaff.w4.363
Copyright © 2004 by Project HOPE

Web Exclusives

Recent Trends In State Nursing Home Payment Policies

David C. Grabowski ^1*, Zhanlian Feng ², Orna Intrator ³, Vincent Mor ⁴

¹ David Grabowski is an assistant professor in the Department of Health Care Organization and Policy, University of Alabama at Birmingham.
² Zhanlian Feng is a project analyst in the Center for Gerontology and Health Care Research, Brown University, in Providence, Rhode Island.
³ Orna Intrator is an assistant professor in the Center for Gerontology and Health Care Research, Brown University, in Providence, Rhode Island.
⁴ Vincent Mor is a professor and head of the Department of Community Health, School of Medicine, at Brown.

^*Corresponding author.

Abstract

State Medicaid programs pay for a sizable portion of overall nursing home expenditures. The repeal of the Boren amendment in 1997 gave states greater freedom to set Medicaid nursing home policy. This study presents data from a comprehensive survey of state nursing home payment policies during 1999-2002. Aggregate inflation-adjusted Medicaid payment rates rose steadily, and there was no sizable increase in the adoption of other cost-cutting policies. Although these findings can be interpreted with some optimism from a nursing home financing perspective, areas of common concern remain for state nursing home policy during the next several years.

Key Words: Consumer Issues, Elderly, Long-Term Care, Medicaid, Medicare, Quality Of Care, State/Local Issues, Health Spending

                      What's this?