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Ownership conversions and nursing home performance.


ABSTRACT:

Objective

To examine the effects of ownership conversions on nursing home performance.

Data source

Online Survey, Certification, and Reporting system data from 1993 to 2004, and the Minimum Data Set (MDS) facility reports from 1998 to 2004.

Study design

Regression specification incorporating facility fixed effects, with terms to identify trends in the pre- and postconversion periods.

Principal findings

The annual rate of nursing home conversions almost tripled between 1994 and 2004. Our regression results indicate converting facilities are generally different throughout the pre/postconversion years, suggesting little causal effect of ownership conversions on nursing home performance. Before and after conversion, nursing homes converting from nonprofit to for-profit status generally exhibit deterioration in their performance, while nursing homes converting from for-profit to nonprofit status generally exhibit improvement.

Conclusions

Policy makers have expressed concern regarding the implications of ownership conversions for nursing home performance. Our results imply that regulators and policy makers should not only monitor the outcomes of nursing home conversions, but also the targets of these conversions.

SUBMITTER: Grabowski DC 

PROVIDER: S-EPMC2517264 | biostudies-literature | 2008 Aug

REPOSITORIES: biostudies-literature

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Publications

Ownership conversions and nursing home performance.

Grabowski David C DC   Stevenson David G DG  

Health services research 20080317 4


<h4>Objective</h4>To examine the effects of ownership conversions on nursing home performance.<h4>Data source</h4>Online Survey, Certification, and Reporting system data from 1993 to 2004, and the Minimum Data Set (MDS) facility reports from 1998 to 2004.<h4>Study design</h4>Regression specification incorporating facility fixed effects, with terms to identify trends in the pre- and postconversion periods.<h4>Principal findings</h4>The annual rate of nursing home conversions almost tripled betwee  ...[more]

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