Volume 47 | Number 1pt1 | February 2012

Abstract List

Jan P. Clement, Gloria J. Bazzoli, Mei Zhao


Objective

To assess whether the release of ursing ome ompare () data affected self‐pay per diem prices and quality of care.


Data Sources

Primary data sources are the nnual urvey of isconsin ursing omes for 2001–2003, nline urvey and ertification eporting ystem, , and rea esource ile.


Study Design

We estimated fixed effects models with robust standard errors of per diem self‐pay charge and quality before and after .


Principal Findings

After , low‐quality nursing homes raised their prices by a small but significant amount and decreased their use of restraints but did not reduce pressure sores. Mid‐level and high‐quality nursing homes did not significantly increase self‐pay prices after nor consistently change quality.


Conclusions

Our findings suggest that the release of quality information affected nursing home behavior, especially pricing and quality decisions among low‐quality facilities. Policy makers should continue to monitor quality and prices for self‐pay residents and scrutinize low‐quality homes over time to see whether they are on a pathway to improve quality. In addition, policy makers should not expect public reporting to result in quick fixes to nursing home quality problems.