From Health Affairs Today <[email protected]>
Subject Nursing Home Staffing And Expenditures
Date March 3, 2023 9:05 PM
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Forefront: Primary Care Population-Based Payments In Medicaid
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Friday, March 3, 2023 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

The March issue of Health Affairs will include research on public health
during COVID-19. Preorder the issue today and receive $10 off
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and be sure to join us at our upcoming events
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with authors featured in the journal.

Nursing Home Staffing

Adequate staffing is central to ensuring high nursing home quality. To
help illuminate the implications of various new policy recommendations,
John Bowblis and coauthors analyze nursing home staff expenditures
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Bowblis and coauthors look at the proportion of facility revenues spent
on nursing staff, as well as nursing staff levels in hours worked and
paid per resident day, in 2019.

The authors find that facilities with higher shares of Medicaid
residents spent a larger share of revenues on nursing staff but had
lower staffing levels.

They determine that "any specific threshold for nursing staff
expenditures...would have a varying degree of effectiveness in ensuring
that any given nursing home was adequately staffed." Ultimately, the
authors argue, increased expenditures on staff do not necessarily
translate to an increase in staffing levels.

This article is part of our Age-Friendly Health series
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supported by the John A. Hartford Foundation. Learn more about how you
can submit to the series.
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Read More
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Elsewhere At Health Affairs

Today in Forefront, Kelsey Brykman and coauthors discuss how primary
care population-based payment models
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can be a powerful tool for advancing health equity.

Daily Digest

Understanding Nursing Home Spending And Staff Levels In The Context Of
Recent Nursing Staff Recommendations
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John R. Bowblis et al.

Leveraging Primary Care Population-Based Payments In Medicaid To Advance
Health Equity
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Kelsey Brykman et al.

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About Health Affairs

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is available in print and online. Late-breaking content is also found
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