COVID-19 outbreaks at nursing homes during the recent pandemic, which received ample media coverage, may have lasting negative impacts on individuals’ perceptions regarding nursing homes. We argue that this could have sizable and persistent implications for savings and longterm care policies....

This paper analyzes the impact of the Medicaid patient subsidy and Certificate of Need (CON) cost containment programs on nursing home behavior.The analysis is complicated by the fact the both proprietary and "not for profit" nursing homes exist, and by the problem that qualityis not directly...

We quantify competition in Australia's residential aged care sector and study how competition is associated with quality of care and prices in the sector. Competition is defined three ways: the number of competitors within a 10 km radius of a facility; the distance (in km) to the third closest...

COVID-19 outbreaks at nursing homes during the recent pandemic, which received ample media coverage, may have lasting negative impacts on individuals’ perceptions regarding nursing homes. We argue that this could have sizable and persistent implications for savings and long-term care policies....

COVID-19 outbreaks at nursing homes during the recent pandemic, which received ample media coverage, may have lasting negative impacts on individuals’ perceptions regarding nursing homes. We argue that this could have sizable and persistent implications for savings and long-term care policies....

Die Corona-Krise hat vor Augen geführt, dass sich die ohnehin schon hohen psychischen und auch physischen Arbeitsbelastungen in der stationären Langzeitpflege noch weiter erhöht haben. Zugleich hat die Corona-Krise aber auch verdeutlicht, wie wichtig betriebliche Unterstützungsstrukturen...

This paper examines whether higher earnings for frontline workers affect the quality of services consumers receive. I leverage increases in the statutory minimum wage, combined with worker, consumer, and firm outcomes in the nursing home sector. I find that higher minimum wages increase income...

The past two decades have seen a rapid increase in Private Equity (PE) investment in healthcare, a sector in which intensive government subsidy and market frictions could lead high-powered for-profit incentives to be misaligned with the social goal of affordable, quality care. This paper studies...

In the past two decades, many healthcare organizations converted their ownership status from nonprofit to for-profit (NP-to-FP) or from for-profit to nonprofit (FP-to-NP). These conversions have drawn public scrutiny and triggered a debate about the implications of ownership conversions on the...

This paper develops a model of the nursing home industry to investigate the quality effects of policies that either raise regulated reimbursement rates or increase local competition. Using data from Pennsylvania, I estimate the parameters of the model. The findings indicate that nursing homes...

This article describes an ongoing research project, which is mainly addressed to managers of nursing homes. Recent events have obliged nursing homes to redefine the interactions among stakeholders in their business ecosystem. By combining the existing literature in business ecosystem design and...

The growing healthcare needs of baby boomers require significant increases in the number or productivity of healthcare workers. This paper explores how immigrants may fill these gaps in nursing homes. First, we show that immigrant inflows are associated with reduced wages of lower skilled nurses...

The past two decades have seen a dramatic increase in private equity investment in healthcare, a sector in which intensive government subsidy and market frictions could lead high-powered for-profit incentives to be misaligned with the social goals of quality care at a reasonable cost. This paper...

Report cards on provider performance are intended to improve consumer decision-making and address information gaps in the market for quality. However, inadequate risk adjustment of report-card measures often biases comparisons across providers. We test whether going to a skilled nursing facility...

Wie haben sich die Preiskomponenten in der stationären Pflege - Pflegesätze, Entgelt für Unterkunft und Verpflegung sowie Investitionskostenanteil - in den vergangenen Jahren entwickelt? Stimmt es, dass Pflege immer teurer geworden ist? Diesen Fragen wird hier nachgegangen. Es zeigt sich ein...

Auf den Punkt * Im deutschen Pflegesektor ist in den vergangenen Jahren ein neuer Akteurstyp aktiv geworden. Private-Equity-Gesellschaften (PEG) investieren temporär, branchen- und länderübergreifend und unterscheiden sich damit von vielen anderen privaten Trägern. * Das wachsende Engagement...

Zentrale Voraussetzung für die Integration der Geflüchteten, die mittel- und längerfristig in Deutschland bleiben werden, ist eine erfolgreiche Integration in Arbeit. Vor diesem Hintergrund wurde im Rahmen eines von der Arbeitnehmerkammer Bremen geförderten Forschungsprojekts der Übergang...

Report cards on provider performance are intended to improve consumer decision-making and address information gaps in the market for quality. However, inadequate risk adjustment of report-card measures often biases comparisons across providers. We test whether going to a skilled nursing facility...

COVID‑19 hit the long-term care sector hard. This brief looks at mortality rates in care homes, as well as the policy responses undertaken during the pandemic. The brief assesses the emergency preparedness of the sector and highlights the lessons learned, including policies to reduce...

This study focuses on financing for long-term care (LTC). LTC involves a range of services including medical and nursing care, personal care services, assistance services and social services that help people live independently or in residential settings when they can no longer carry out routine...

The U.S. population is aging. We examine whether immigration causally affects the likelihood that the U.S.-born elderly live in institutional settings. Using a shift-share instrument to identify exogenous variation in immigration, we find that a 10 percentage point increase in the less-educated...

The COVID-19 crisis has hit the long-term care (LTC) sector particularly hard, with large numbers of people dependent on care and particularly vulnerable to COVID-19 have fallen ill, and a disproportionate rate of LTC workers both exposed to, and infected by, COVID-19. The analysis presented in...