{"title":"Effects of Nursing Home Participation in the Medicare Shared Savings Program on Staffing and Deficiency Citations.","authors":"Huang Huang, Xi Zhu, George Wehby","doi":"10.1177/07334648251392996","DOIUrl":null,"url":null,"abstract":"<p><p>The Medicare Shared Savings Program (MSSP) is the largest value-based payment model in the United States, yet its impacts on participating nursing homes remain poorly understood. This study investigates the effects of nursing home participation in the MSSP on nursing home staffing patterns and deficiency citations. Using comprehensive data on all U.S. nursing homes from 2013 to 2018 and employing difference-in-differences models, we find evidence that MSSP participation is associated with increased registered nurse (RN) staffing, reduced licensed practical nurse (LPN) staffing, and a decline in deficiency citations. As nursing home participation in the MSSP continues to grow, more evidence is needed to understand the program's broader implications for facility operations, care quality, and patient health outcomes.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2047-2057"},"PeriodicalIF":2.0000,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Applied Gerontology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/07334648251392996","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/28 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
The Medicare Shared Savings Program (MSSP) is the largest value-based payment model in the United States, yet its impacts on participating nursing homes remain poorly understood. This study investigates the effects of nursing home participation in the MSSP on nursing home staffing patterns and deficiency citations. Using comprehensive data on all U.S. nursing homes from 2013 to 2018 and employing difference-in-differences models, we find evidence that MSSP participation is associated with increased registered nurse (RN) staffing, reduced licensed practical nurse (LPN) staffing, and a decline in deficiency citations. As nursing home participation in the MSSP continues to grow, more evidence is needed to understand the program's broader implications for facility operations, care quality, and patient health outcomes.
期刊介绍：
The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
