Journal
MEDICAL CARE RESEARCH AND REVIEW
Volume 65, Issue 4, Pages 514-527Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1077558708315968
Keywords
nursing homes; Medicaid; provider taxes; finance; long-term care
Funding
- NIA NIH HHS [K01 AG024403-01A1, K01 AG024403, R01 AG023622, R01 AG023622-01, AG23622] Funding Source: Medline
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In the context of recent state budget shortfalls and the repeal of the Boren Amendment, state Medicaid expenditures for nursing home care were considered a potential target for payment cuts. The authors examine this issue using data from a survey of state nursing home payment policies. Results indicate that aggregate inflation-adjusted Medicaid payment rates steadily increased through 2004, and this growth is partly attributable to the adoption of nursing home provider taxes in many states. A recent proposal to cap provider taxes, if enacted, may lead to a decrease in Medicaid payment rates for nursing home care.
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