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Ownership conversion and closure in the nursing home industry

✍ Scribed by John R. Bowblis

Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
134 KB
Volume
20
Category
Article
ISSN
1057-9230

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✦ Synopsis

Ownership conversions and closures in the nursing home literature have largely been treated as separate issues. This paper studies the predictors of nursing home ownership conversions and closure in a common framework after the implementation of the Prospective Payment System in Medicare skilled nursing facilities. The switch in reimbursement regimes impacted facilities with greater exposure to Medicare and lower efficiency. Facilities that faced greater financial difficulty were more likely to be involved in an ownership conversion or closure, but after controlling for other factors the effect of exposure to Medicare is small. Further, factors that predict conversion were found to vary between not-for-profit and for-profit facilities, while factors that predict closure were the same for each ownership type.

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