Association of Pay-for-Performance Reimbursement With Clinical Quality for Minnesota Nursing Homes Residents

Lacey Loomer, Kim Nichols Dauner, Jennifer Schultz

Research output: Contribution to journalArticlepeer-review

Abstract

In 2016, Minnesota implemented a new pay-for-performance reimbursement scheme for Medicaid residents in nursing homes, known as Value-Based Reimbursement (VBR). This study seeks to understand whether there is an association between VBR and quality improvement. We use data from 2013 to 2019 including Centers for Medicare and Medicaid Services, Nursing Home Compare, and Long-term care Facts in the US. Using multivariate regression with commuting zone fixed effects, we compare five long-stay and two short-stay clinical quality metrics in Minnesota nursing homes to nursing homes bordering states, before and after VBR was implemented. We find minimal significant changes in quality in Minnesota nursing homes after VBR. Minnesota should reconsider its pay-for-performance efforts.

Original languageEnglish (US)
Pages (from-to)484-495
Number of pages12
JournalMedical Care Research and Review
Volume80
Issue number5
DOIs
StatePublished - Oct 2023

Bibliographical note

Publisher Copyright:
© The Author(s) 2023.

Keywords

  • Medicaid
  • nursing homes
  • pay-for-performance

PubMed: MeSH publication types

  • Journal Article

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