Association of Pay-for-Performance Reimbursement With Clinical Quality for Minnesota Nursing Homes Residents

Author:

Loomer Lacey1ORCID,Dauner Kim Nichols1,Schultz Jennifer1

Affiliation:

1. University of Minnesota Duluth, MN, USA

Abstract

In 2016, Minnesota implemented a new pay-for-performance reimbursement scheme for Medicaid residents in nursing homes, known as Value-Based Reimbursement (VBR). This study seeks to understand whether there is an association between VBR and quality improvement. We use data from 2013 to 2019 including Centers for Medicare and Medicaid Services, Nursing Home Compare, and Long-term care Facts in the US. Using multivariate regression with commuting zone fixed effects, we compare five long-stay and two short-stay clinical quality metrics in Minnesota nursing homes to nursing homes bordering states, before and after VBR was implemented. We find minimal significant changes in quality in Minnesota nursing homes after VBR. Minnesota should reconsider its pay-for-performance efforts.

Publisher

SAGE Publications

Subject

Health Policy

Reference24 articles.

1. Minnesota’s Provider-Initiated Approach Yields Care Quality Gains At Participating Nursing Homes

2. Arling G., Hass Z. (2019). Technical report: Evaluation of the nursing home value-based reimbursement system (VBR). Report 2: Follow-up to the 2019 legislative report. https://mn.gov/dhs/assets/VBR-2019-legislative-report-follow-up-07082019_tcm1053-472909.pdf

3. What Is Nursing Home Quality and How Is It Measured?

4. Top management turnover and quality in nursing homes

5. The Theory of Value‐Based Payment Incentives and Their Application to Health Care

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