This paper analyzes the impact of the Medicaid patient subsidy and Certificate of Need (CON) cost containment programs on nursing home behavior.The analysis is complicated by the fact the both proprietary and "not for profit" nursing homes exist, and by the problem that qualityis not directly...

Nursing homes participate simultaneously in a regulated and an unregulated market, and are required to supply the same quality of service to both markets. Specifically, nursing homes compete for patients who finance their care privately, and patients whose care is financed by the government's...

This paper examines the effect of unions on productivity within a sample of publicly and privately owned hospitals and nursing homes to determine whether public ownership influences union behavior. The results show that the productivity of union contractors is much greater in private than in...

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...

On 13 January 1999, the Productivity Commission reported to the Australian Government on the appropriate structure of government subsidies to nursing homes in Australia. The Commission argued that equity of access to quality aged care must be the main criterion for assessing alternative subsidy...

"The largest, most comprehensive study of residential care/assisted living ever undertaken." -- Housing Studies "Policy makers, educators, advocates, and service providers along the continuum of care for older adults will find this work impressive." -- Inside GCM.