Abstract
Recent proposals aim to relocate relatively healthy residents from nursing homes to lower-cost assisted care facilities. Such a move would have impacts on nursing home costs for two main reasons. It would decrease utilization rates and increase patient care needs, or acuity. A translog cost model is used to examine the impact that acuity and utilization have on nursing home costs. Results indicate that decreasing utilization will reduce total costs for nursing homes. However, increasing acuity will increase total costs. The total effect on nursing home costs of the change in policy is to decrease nursing home total costs but increase nursing home average costs per patient day.
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References
Arling, Greg, Richard H. Nordquist, and John A. Capitman (1987) ‘Nursing Home Cost and Ownership Type: Evidence of Interaction Effects’, Health Services Research, 22, 255–269.
Christensen, Laurits, R., Dale W. Jorgenson, and Lawrence J. Lau (1971) ‘Conjugate Duality and the Transcendental Logarithmic Production Function’, Econometrica, 39,255–256.
Christensen, Laurits, R., Dale W. Jorgenson, and Lawrence J. Lau (1973) ‘Transcendental Logarithmic Production Frontiers’, Review of Economics and Statistics, 55, 28–45.
Gertler, Paul J., and Donald M. Waldman (1992) ‘Quality-Adjusted Cost Functions and Policy Evaluation in the Nursing Home Industry’, Journal of Political Economy, 100, 1232–1256.
Health Care Financing Administration (1997) National Health Care Expenditures: 1960-1996.
Lee, A. James, and Howard Birnbaum (1983) ‘The Determinants of Nursing Home Operating Costs in New York State’, Health Services Research, 18, 285–308.
Longo, Hertha M. (1990) ‘An Econometric Analysis of the Costs of Nursing Home Care in the State of Wisconsin: Facilities Operated by Religious Congregations of Women for their Members as a Special Case’, Ph.D. Dissertation. Notre Dame, Indiana.
McKay, Niccie L. (1988), Journal of Human Resources, 23, 57–75.
McKay, Niccie L. (1991) ‘The Effect of Chain Ownership on Nursing Home Costs’, Health Services Research, 26, 109–124.
Nebraska Department of Health (1999) Nebraska HHS Finance and Support Manual.
Nebraska Health and Human Services (1997) Long-Term Care Plan: Executive Summary.
Toren, Mark (1992) ‘Estimating Nursing Home Efficiency Using Frontier Cost Functions’, Ph.D. Dissertation (Troy, NY: Rensselaer Polytechnic Institute).
Ullmann, Steven G. (1984) ‘Cost Analysis and Facility Reimbursement in the Long-Term Health Care Industry’, Health Services Research, 19, 83–102.
Williams, Brent C., Brant E. Fries, William J. Foley, Don Schneider, and Marie Gavazzi (1994) ‘Activities of Daily Living and Cost in Nursing Homes’, Health Care Financing Review, 15(4), 117–135.
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Rosenbaum, D.I., Lamphear, C.F. & Rebeck, K. The Effects of Acuity and Utilization on Nursing Home Costs. Review of Industrial Organization 19, 279–294 (2001). https://doi.org/10.1023/A:1011892421424
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DOI: https://doi.org/10.1023/A:1011892421424