Cross-Subsidization in Nursing Homes: Explaining Rate Differentials Among Payer Types.
Are Medicaid patients being subsidized by other residents in nursing homes? This article employs cross-sectional data on nursing homes and residents in a multiproduct empirical cost analysis to obtain the benchmark magnitudes of patient service costs needed to assess the issues. The estimated cost f...
| Publicado en: | Southern Economic Journal Vol. 68; no. 4; pp. 750 - 774 |
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| Formato: | Artículo |
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Southern Economic Association
April 2002
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=510205937&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 510205937 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00384038 SEJ jtl: Southern Economic Journal issn: 00384038 maglogo: N pubinfo: dt: April 2002 vid: 68 iid: 4 pid: 1482 pub: Southern Economic Association artinfo: ui: 510205937 10.2307/1061491 ppf: 750 ppct: 24 formats: fmt: @attributes: type: T tig: atl: Cross-Subsidization in Nursing Homes: Explaining Rate Differentials Among Payer Types. aug: au: Troyer, Jennifer L. su: Nursing care facility financing Nursing home rates Medicaid Florida sug: subj: Florida Nursing care facility financing Nursing home rates Medicaid ab: Are Medicaid patients being subsidized by other residents in nursing homes? This article employs cross-sectional data on nursing homes and residents in a multiproduct empirical cost analysis to obtain the benchmark magnitudes of patient service costs needed to assess the issues. The estimated cost function provides evidence that Medicaid reimbursement rates are lower than the average incremental cost of care for Medicaid patients in approximately one quarter to one third of Florida nursing homes. One possible explanation for this apparent cross-subsidization, considered here, is that patients pay a premium in self-insured rates early in their residency to fairly cover the expected future losses if they later convert to Medicaid. Based on the empirical frequencies of patient transitions to different payer status over the length of the nursing home stay, it is shown that the apparent cross-subsidization is explained, to a large extent, by an intertemporal conversion surcharge. Reprinted by permission of the publisher. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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