Do financial incentives of introducing case mix reimbursement increase feeding tube use in nursing home residents?

Joan M. Teno, Zhanlian Feng, Susan L. Mitchell, Sylvia Kuo, Orna Intrator, Vincent Mor

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

OBJECTIVES: To determine whether adoption of Medicaid case mix reimbursement is associated with greater prevalence of feeding tube use in nursing home (NH) residents. DESIGN: Secondary analysis of longitudinal administrative data about the prevalence of feeding tube insertion and surveys of states' adoption of case mix reimbursement. SETTING: NHs in the United States. PARTICIPANTS: NH residents at the time of NH inspection between 1993 and 2004. MEASUREMENTS: Facility prevalence of feeding tubes reported at the state inspection of NHs reported in the Online Survey, Certification and Reporting database and interviews with state policy makers regarding the adoption of case mix reimbursement. RESULTS: Between 1993 and 2004, 16 states adopted Resource Utilization Group case mix reimbursement. States varied in the prevalence of feeding tubes in their NHs. Although the use of feeding tube increased substantially over the years of the study, once temporal trends and facility fixed effects were accounted for, case mix reimbursement was not associated with greater prevalence of feeding tube use. CONCLUSION: The adoption of Medicaid case mix reimbursement was not associated with an increase in the prevalence of feeding tube use.

Original languageEnglish (US)
Pages (from-to)887-890
Number of pages4
JournalJournal of the American Geriatrics Society
Volume56
Issue number5
DOIs
StatePublished - May 1 2008

Keywords

  • Elderly
  • Feeding tubes
  • Financial reimbursement
  • Nursing homes
  • State variation

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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