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Nursing Home Discharges and Exhaustion of Medicare Benefits

Garber, Alan M.; MaCurdy, Thomas E. - 2021

The price sensitivity of demand for nursing home care is a subject of considerable policy interest. Standard methods for measuring price responsiveness are difficult to apply to nursing home care, since accurate price information is usually unavailable and prices may reflect unmeasured quality...

Persistent link: https://www.econbiz.de/10013223856

Medicaid and the Cost of Improving Access to Nursing Home Care

Gertler, Paul J. - 2021

In this paper I show that the Medicaid program can improve the access of financially indigent patients to nursing home care by raising the rate of return paid on Medicaid patients' care, but only at the cost of lower quality of care. To quantify the policy tradeoff, I derive expressions for the...

Persistent link: https://www.econbiz.de/10013232913

Effects of Medicare Payment Reform : Evidence from the Home Health Interim and Prospective Payment Systems

Huckfeldt, Peter J. - 2012

Medicare continues to implement payment reforms that shift reimbursement from fee-for-service towards episode-based payment, affecting average and marginal reimbursement. We contrast the effects of two reforms for home health agencies. The Home Health Interim Payment System in 1997 lowered both...

Persistent link: https://www.econbiz.de/10013110235

Targeting with In-Kind Transfers : Evidence from Medicaid Home Care

Lieber, Ethan - 2018

Making a transfer in kind reduces its value to recipients but can improve targeting. We develop an approach to quantifying this tradeoff and apply it to home care. Using randomized experiments by Medicaid, we find that in-kind provision significantly reduces the value of the transfer to...

Persistent link: https://www.econbiz.de/10012928985

Physician Fee Policy and Medicaid Program Costs

Gruber, Jonathan; Adams, Kathleen; Newhouse, Joseph P. - 2021

We investigate the hypothesis that increasing access for the indigent to physician offices shifts care from hospital outpatient settings and lowers Medicaid costs (the so-called offset effect'). To evaluate this hypothesis we exploit a large increase in physician fees in the Tennessee Medicaid...

Persistent link: https://www.econbiz.de/10013246499

Provider Incentives and Healthcare Costs : Evidence from Long-Term Care Hospitals

Einav, Liran - 2017

We study the design of provider incentives in the post-acute care setting – a high-stakes but under-studied segment of the healthcare system. We focus on long-term care hospitals (LTCHs) and the large (approximately $13,000) jump in Medicare payments they receive when a patient's stay reaches...

Persistent link: https://www.econbiz.de/10012964400

Long-Term Care Hospitals : A Case Study in Waste

Einav, Liran - 2018

There is substantial waste in U.S. healthcare, but little consensus on how to identify or combat it. We identify one specific source of waste: long-term care hospitals (LTCHs). These post-acute care facilities began as a regulatory carve-out for a few dozen specialty hospitals, but have expanded...

Persistent link: https://www.econbiz.de/10012912166

Effects of Payment Reform in More Versus Less Competitive Markets

Sood, Neeraj - 2015

Policymakers are increasingly interested in reducing healthcare costs and inefficiencies through innovative payment strategies. These strategies may have heterogeneous impacts across geographic areas, potentially reducing or exacerbating geographic variation in healthcare spending. In this...

Persistent link: https://www.econbiz.de/10013013190

Home Care Reimbursement, Long-Term Care Utilization, and Health Outcomes

McKnight, Robin - 2021

Long-term care currently comprises almost 10% of national health expenditures and is projected to rise rapidly over coming decades. A key, and relatively poorly understood, element of long-term care is home health care. I use a substantial change in Medicare reimbursement policy, which took the...

Persistent link: https://www.econbiz.de/10013223353

The Affordable Care Act as Retiree Health Insurance : Implications for Retirement and Social Security Claiming

Gustman, Alan L. - 2016

Using data from the Health and Retirement Study, we examine the effects of the Affordable Care Act (ACA) on retirement …. We first calculate retirements (and in related analyses changes in expected ages of retirement and/or Social Security … claiming) between 2010, before ACA, and 2014, after ACA, for those with health insurance at work but not in retirement. This …

Persistent link: https://www.econbiz.de/10012979371

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