{"title":"Regulatory response to variations in the supply of nursing home beds.","authors":"T R Willemain","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Current regulatory practice seeks to reduce the supply of nursing home beds in areas that rank high in number of beds per capita. The presumption is that a high rank signals \"overbedding,\" i.e., an excess of beds over need. A model of service use is employed to interpret data on the appropriateness of skilled nursing facility (SNF) utilization by Medicaid patients. The analysis reveals that beds per capita is a poor indicator of the relative probability that an area is overbedded, and suggests a more discriminating response to variations in the supply of SNF beds.</p>","PeriodicalId":76390,"journal":{"name":"Public policy","volume":"27 4","pages":"457-67"},"PeriodicalIF":0.0000,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public policy","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Current regulatory practice seeks to reduce the supply of nursing home beds in areas that rank high in number of beds per capita. The presumption is that a high rank signals "overbedding," i.e., an excess of beds over need. A model of service use is employed to interpret data on the appropriateness of skilled nursing facility (SNF) utilization by Medicaid patients. The analysis reveals that beds per capita is a poor indicator of the relative probability that an area is overbedded, and suggests a more discriminating response to variations in the supply of SNF beds.
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