The Effects of Acuity and Utilization on Nursing Home Costs

Recent proposals aim to relocate relatively healthy residents from nursing homes to lowercost 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...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	Review of industrial organization 2001-11, Vol.19 (3), p.279-294
Hauptverfasser:	ROSENBAUM, DAVID I., LAMPHEAR, CHARLES F., REBECK, KEN
Format:	Artikel
Sprache:	eng
Schlagworte:	Cost analysis Cost efficiency Cost estimates Cost functions Costs Econometrics Economic costs Economic models Economic theory Economies of scale Effects Expenditures Fixed costs Health economics Health services Labor costs Long term care insurance Medicaid Nursing care Nursing homes Organization theory Patients Personal health Prices Production functions Registered nurses Residential care Resource utilization Studies Total costs
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Beschreibung
Zusammenfassung:	Recent proposals aim to relocate relatively healthy residents from nursing homes to lowercost 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.
ISSN:	0889-938X 1573-7160
DOI:	10.1023/A:1011892421424