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Medical Care Research and Review
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Medline Plus Health Information
*Medicaid
*Nursing Homes
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Medicaid Nursing Home Payment and the Role of Provider Taxes

David C. Grabowski

Harvard Medical School

Zhanlian Feng

Orna Intrator

Vincent Mor

Brown University

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.

Key Words: nursing homes • Medicaid • provider taxes • finance • long-term care

This version was published on August 1, 2008

Medical Care Research and Review, Vol. 65, No. 4, 514-527 (2008)
DOI: 10.1177/1077558708315968
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Home page
 Journal of Health Politics, Policy and LawHome page
E. A. Miller, V. Mor, D. C. Grabowski, and P. L. Gozalo
The Devil's in the Details: Trading Policy Goals for Complexity in Medicaid Nursing Home Reimbursement
Journal of Health Politics Policy and Law, February 1, 2009; 34(1): 93 - 135.
[Abstract] [PDF]