Title

Nursing Home Quality and Financial Performance: Does the Racial Composition of Residents Matter?

Authors

Authors

L. Chisholm; R. Weech-Maldonado; A. Laberge; F. C. Lin;K. Hyer

Comments

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Abbreviated Journal Title

Health Serv. Res.

Keywords

Nursing homes; racial composition; quality; financial performance; blacks; LONG-TERM-CARE; OF-CARE; UNITED-STATES; DISPARITIES; EQUITY; DEMOGRAPHICS; FACILITIES; OWNERSHIP; PAYMENT; DRIVEN; Health Care Sciences & Services; Health Policy & Services

Abstract

ObjectiveTo examine the effects of the racial composition of residents on nursing homes' financial and quality performance. The study examined Medicare and Medicaid-certified nursing homes across the United States that submitted Medicare cost reports between the years 1999 and 2004 (11,472 average per year). Data SourceData were obtained from the Minimum Data Set, the On-Line Survey Certification and Reporting, Medicare Cost Reports, and the Area Resource File. Study DesignPanel data regression with random intercepts and negative binomial regression were conducted with state and year fixed effects. Principal FindingsFinancial and quality performance differed between nursing homes with high proportions of black residents and nursing homes with no or medium proportions of black residents. Nursing homes with no black residents had higher revenues and higher operating margins and total profit margins and they exhibited better processes and outcomes than nursing homes with high proportions of black residents. ConclusionNursing homes' financial viability and quality of care are influenced by the racial composition of residents. Policy makers should consider initiatives to improve both the financial and quality performance of nursing homes serving predominantly black residents.

Journal Title

Health Services Research

Volume

48

Issue/Number

6

Publication Date

1-1-2013

Document Type

Article

Language

English

First Page

2060

Last Page

2080

WOS Identifier

WOS:000327392300015

ISSN

0017-9124

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