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Nursing Home Quality as a Common Good

David C. Grabowski¹; Jonathan Gruber²; Joseph Angelelli³

¹ Harvard University Press · ² Massachusetts Institute of Technology · ³ Paraprofessional Healthcare Institute

A long-standing assumption among economists is that nursing home quality is common across Medicaid and private-pay patients within a shared facility. However, there has been only limited empirical work addressing this issue. Using a unique individual level panel of residents of nursing homes from seven states, we exploit both within-facility and within-person variation in payer source and quality to examine this issue. We also test the robustness of these results across states with different Medicaid and private-pay rate differentials. Across various identification strategies, our results are consistent with the assumption of common quality across Medicaid and private-paying patients within facilities.

DOI

10.1162/rest.90.4.754

Volume

90 (4)

Pages

754-764

Language

en

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