ASSESSING MEDICAID PAYMENT RATES AND COSTS OF CARING FOR THE MEDICAID POPULATION RESIDING IN NURSING HOMES
2024

Medicaid Payment Rates and Nursing Home Care Costs

Sample size: 44 publication Evidence: moderate

Author Information

Author(s): Miller Edward, Simpson Elizabeth, Karon Sara, Cohen, Bowblis

Primary Institution: Oxford University Press US

Hypothesis

There is a relationship between Medicaid payment rates and the costs of caring for Medicaid residents in nursing homes.

Conclusion

The study provides essential information to support discussions on policy reforms aimed at improving nursing home care.

Supporting Evidence

  • Medicaid is the primary payer for nursing home care, covering about two-thirds of residents.
  • The study used data from 2019, prior to the COVID-19 pandemic.
  • The findings aim to inform policy reforms for nursing home care.

Takeaway

This study looks at how much Medicaid pays for nursing home care and how that compares to the actual costs of taking care of people living there.

Methodology

The study analyzed Medicaid payment and cost report data for freestanding nursing homes in 44 states from 2019.

Limitations

The study is limited to data from the pre-pandemic period and may not reflect current conditions.

Participant Demographics

The study focuses on Medicaid residents in nursing homes, primarily long-stay residents with cognitive or physical impairments.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2001

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