Return to nursing home investment: issues for public policy.
Baldwin, Carliss Y
Date of Pub
Bishop, Christine E
Because Government policy does much to determine the return available to nursing home investment, the profitability of the
nursing home industry has been a subject of controversy since Government agencies began paying a large portion of the Nation's
nursing home bill. Controversy appears at several levels. First is the rather narrow concern, often conceived in accounting
terms, of the appropriate reimbursement of capital-related expense under Medicaid and Medicare. Second is the concern about
how return to capital affects the flow of investment into nursing homes, leading either to inadequate access to care or to
over-capacity. Third is the concern about how sources of return to nursing home investment affect the pattern of nursing home
ownership and the amount of equity held by owners since the pattern of ownership and amount of equity have been linked to
quality of care.
Public Policy : Reimbursement Mechanisms : Capital Financing : Investments/trends : Nursing Homes/economics : Ownership/economics
: Support, U.S. Gov't, P.H.S. : United States