FEDERAL AND STATE POLICIES AND STAKEHOLDER VIEWS ON MEDICAID NURSING HOME PAYMENT
2024

Medicaid Nursing Home Payment Policies

publication

Author Information

Author(s): Edward Miller, John Bowblis, Elizabeth Simpson, Sara Karon, Iara Oliveira, Judith Dey, Marie Squillace, Marc Cohen

Conclusion

States design Medicaid payment models to balance costs, quality, and access to nursing home care.

Supporting Evidence

  • Medicaid coverage of nursing home care is a significant expenditure for states.
  • Setting Medicaid payment rates too high can lead to excess profits at the expense of taxpayers.
  • There is no federal requirement that Medicaid payments cover the full cost of care.

Takeaway

This study looks at how states decide how much money nursing homes get from Medicaid, which affects the care residents receive.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2002

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