ArticleInquiry : a journal of medical care organization, provision and financing
High Medicaid Nursing Homes: Organizational and Market Factors Associated With Financial Performance.
Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Impact of national partnership to improve dementia care on antipsychotic use duration for dementia residents in nursing homes.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Financial performance of rural and urban nursing homes: A comparative analysis.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Impact of federal antipsychotic use policy in nursing homes on new diagnoses for approved indications in dementia residents.Journal of the American Geriatrics Society · 2024Article
- Access to preferred skilled nursing facilities: Transitional care pathways for patients with Alzheimer's disease and related dementias.Health services research · 2024Article
- Medicare skilled nursing facilities' occupancy and payer source: The moderating role of financial performance.SAGE open medicine · 2024Article
- Electronic Health Record Implementation Enhances Financial Performance in High Medicaid Nursing Homes.Journal of multidisciplinary healthcare · 2024Article
- Beyond the Balance Sheet: Investigating the Association Between NHA Turnover and Nursing Home Financial Performance.Risk management and healthcare policy · 2024Article
- Observational
- Factors and Challenges in Increasing the Utilization Rate of a New Long-term Care Service (Kantaki) in a Superaging Society: Cross-sectional Study.Asian/Pacific Island nursing journal · 2023Article
- Nursing Home Characteristics Associated with High and Low Levels of Antipsychotic, Benzodiazepine, and Opioid Prescribing to Residents with Alzheimer's Disease and Related Dementias: A Cross-Sectional Analysis.Journal of the American Medical Directors Association · 2022Article
- Nursing Homes: Affiliation to Large Chains, Quality and Public-Private Collaboration.Healthcare (Basel, Switzerland) · 2022Article
- Impact of agile intuition on innovation behavior: Chinese evidence and a new proposal.PloS one · 2022Article
- The Need for an Economically Feasible Nursing Home Staffing Regulation: Evaluating an Acuity-Based Nursing Staff Benchmark.Innovation in aging · 2022Article
- Ownership Matters: Not-for-Profit Chain Nursing Homes Have Higher Utilization of Agency Nursing Staff.Inquiry : a journal of medical care organization, provision and financingArticle
- Higher Nursing Staff Wages Are Associated With Lower Operating Margins in Nursing Homes: An Instrumental Variable Analysis.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
High Medicaid nursing homes (85% and higher of Medicaid residents) operate in resource-constrained environments. High Medicaid nursing homes (on average) have lower quality and poorer financial performance. However, there is significant variation in performance among high Medicaid nursing homes. The purpose of this study is to examine the organizational and market factors that may be associated with better financial performance among high Medicaid nursing homes. Data sources included Long-Term Care Focus (LTCFocus), Centers for Medicare and Medicaid Services' (CMS) Medicare Cost Reports, CMS Nursing Home Compare, and the Area Health Resource File (AHRF) for 2009-2015. There were approximately 1108 facilities with high Medicaid per year. The dependent variables are nursing homes operating and total margin. The independent variables included size, chain affiliation, occupancy rate, percent Medicare, market competition, and county socioeconomic status. Control variables included staffing variables, resident quality, for-profit status, acuity index, percent minorities in the facility, percent Medicaid residents, metropolitan area, and Medicare Advantage penetration. Data were analyzed using generalized estimating equations with state and year fixed effects. Results suggest that organizational and market slack resources are associated with performance differentials among high Medicaid nursing homes. Higher financial performing facilities are characterized as having nurse practitioners/physician assistants, more beds, higher occupancy rate, higher Medicare and Medicaid census, and being for-profit and located in less competitive markets. Higher levels of Registered Nurse (RN) skill mix result in lower financial performance in high Medicaid nursing homes. Policy and managerial implications of the study are discussed.
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Registered trials
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