1,342 research outputs found

    Technical_Appendix_revised2_(1) – Supplemental material for Consumer Numeracy and Insurance Design Decisions: An Examination of Inflation Protection Take-Up Among Private Long-Term Care Insurance Policy Holders

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    Supplemental material, Technical_Appendix_revised2_(1) for Consumer Numeracy and Insurance Design Decisions: An Examination of Inflation Protection Take-Up Among Private Long-Term Care Insurance Policy Holders by Brian E. McGarry and David C. Grabowski in Medical Care Research and Review</p

    Appendix_Figure_and_Tables – Supplemental material for Secret Shopper Data on Private Prices in the Nursing Home Industry From 2008 to 2010

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    Supplemental material, Appendix_Figure_and_Tables for Secret Shopper Data on Private Prices in the Nursing Home Industry From 2008 to 2010 by Lacey Loomer, Ashvin Gandhi, Fangli Geng and David C. Grabowski in Medical Care Research and Review</p

    SUPPLEMENTARY_MATERIAL – Supplemental material for Medicaid and Nursing Home Choice: Why Do Duals End Up in Low-Quality Facilities?

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    Supplemental material, SUPPLEMENTARY_MATERIAL for Medicaid and Nursing Home Choice: Why Do Duals End Up in Low-Quality Facilities? by Hari Sharma, Marcelo Coca Perraillon, Rachel M. Werner, David C. Grabowski and R. Tamara Konetzka in Journal of Applied Gerontology</p

    Combined_Model_for_SCU_Revision_tables – Supplemental material for Nursing Home Chain Affiliation and Its Impact on Specialty Service Designation for Alzheimer Disease

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    Supplemental material, Combined_Model_for_SCU_Revision_tables for Nursing Home Chain Affiliation and Its Impact on Specialty Service Designation for Alzheimer Disease by Justin Blackburn, Qing Zheng, David C. Grabowski, Richard Hirth, Orna Intrator, David G. Stevenson and Jane Banaszak-Holl in INQUIRY: The Journal of Health Care Organization, Provision, and Financing</p

    sj-pdf-1-jag-10.1177_07334648221077092 – Supplemental Material for Skilled Nursing Facility Care at Home for Adults Discharged From the Hospital: A Pilot Randomized Controlled Trial

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    Supplemental Material, sj-pdf-1-jag-10.1177_07334648221077092 for Skilled Nursing Facility Care at Home for Adults Discharged From the Hospital: A Pilot Randomized Controlled Trial by David M. Levine, Mary A. Cueva1, Sandra Shi, Idriz Limaj, Bessey Wambolt, David C. Grabowski, Jeffrey L. Schnipper and Charles T. Pu for Journal of Applied Gerontology</p

    sj-docx-1-mcr-10.1177_10775587241233018 – Supplemental material for Administrator Perspectives on the Impact of COVID-19 on the Administration of the Patient Driven Payment Model in U.S. Skilled Nursing Facilities

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    Supplemental material, sj-docx-1-mcr-10.1177_10775587241233018 for Administrator Perspectives on the Impact of COVID-19 on the Administration of the Patient Driven Payment Model in U.S. Skilled Nursing Facilities by Amy Meehan, Joan F. Brazier, David C. Grabowski, Momotazur Rahman, Renee R. Shield and Emily A. Gadbois in Medical Care Research and Review</p

    Home Care Reimbursement, Long-term Care Utilization, and Health Outcomes

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    Long-term care currently comprises almost 10% of national health expenditures and is projected to rise rapidly over coming decades. A key, and relatively poorly understood, element of long-term care is home health care. I use a substantial change in Medicare reimbursement policy, which took the form of tightly binding average per-patient reimbursement caps, to address several questions about the market for home care. I find that the reimbursement change was associated with a large drop in the provision of home care. This drop was concentrated among unhealthy beneficiaries, which is consistent with the incentives for patient selection inherent in the per-patient caps. I find that the decline in home health utilization was not offset by increases in institutional long-term care or other medical care and that there were no associated adverse health consequences. However, approximately one-quarter of the decline in Medicare spending was offset by increases in out-of-pocket expenditures for home health care, with the offset concentrated in higher income populations. Despite the value of home health care implied by the out-of-pocket expenditures, I find that the welfare implications of the reimbursement change were ambiguous.

    Nursing Home Quality as a Public Good

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    There has been much debate among economists about whether nursing home quality is a public good across Medicaid and private-pay patients within a common 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-patient 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 our various identification strategies, the results generally support the idea that quality is a public good within nursing homes. That is, within a common nursing home, there is very little evidence to suggest that Medicaid-funded residents receive consistently lower quality care relative to their private-paying counterparts.

    Preserving Contexts for Soft Conformance Relation

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    This paper addresses the study of bisimulation based conformance relations in which input and output actions not presented in the specification are added to the implementation. A new definition, that we called soft conformance, is given. Then, we concentrate on the study of the conditions under which a context preserves the soft conformance relation of two agents. These conditions depend both on the specification and the implementation in the conformance relation and also on the context. Since the addition of extraneous actions to the implementation allows to define malicious contexts that would not preserve the conformance relation, such a characterisation of the family of contexts preserving each individual pair (implementation and specification) in the conformance relation is the best result that can be expected in this direction.Madrid Ciencia y TecnologíaSección Deptal. de Sistemas Informáticos y ComputaciónFac. de Ciencias MatemáticasInstituto de Matemática Interdisciplinar (IMI)TRUEpu
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