Innovation in High Medicaid Nursing Homes


Medicaid rates for nursing home care have never been generous.  Most nursing homes rely on cross-subsidization from private pay and Medicare residents to compensate for revenue shortfalls occasioned by their Medicaid residents.  For nursing homes that primarily care for minorities or are located in poor neighborhoods, Medicaid accounts for a disproportionately high percent of their reimbursement.  Quality suffers in these resource-poor facilities.  There are, however, exceptions to this.  Using exploratory qualitative methods this pilot study will seek to understand how some resource-poor nursing homes are able to adopt culture change practices and/or provide palliative care, two examples of innovative practices more commonly found in relatively affluent homes.  It will be the first step in developing an approach to improving quality and equity for residents living in Medicaid nursing homes.

Grant Details

Grantee Organization:
Brown University in Providence in the State of Rhode Island
Principal Investigator:
Denise Tyler, Ph.D.
Award Amount:
Approval Date:
February 20, 2013
Related Topics
Health Care Delivery

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