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Ownership conversion and closure in the nursing home industry

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  • John R. Bowblis

Abstract

Ownership conversions and closures in the nursing home literature have largely been treated as separate issues. This paper studies the predictors of nursing home ownership conversions and closure in a common framework after the implementation of the Prospective Payment System in Medicare skilled nursing facilities. The switch in reimbursement regimes impacted facilities with greater exposure to Medicare and lower efficiency. Facilities that faced greater financial difficulty were more likely to be involved in an ownership conversion or closure, but after controlling for other factors the effect of exposure to Medicare is small. Further, factors that predict conversion were found to vary between not‐for‐profit and for‐profit facilities, while factors that predict closure were the same for each ownership type. Copyright © 2010 John Wiley & Sons, Ltd.

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  • John R. Bowblis, 2011. "Ownership conversion and closure in the nursing home industry," Health Economics, John Wiley & Sons, Ltd., vol. 20(6), pages 631-644, June.
    • Handle: RePEc:wly:hlthec:v:20:y:2011:i:6:p:631-644
    DOI: 10.1002/hec.1618
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    Cited by:

    1. John R. Bowblis & Andrew Ghattas, 2017. "The Impact of Minimum Quality Standard Regulations on Nursing Home Staffing, Quality, and Exit Decisions," Review of Industrial Organization, Springer;The Industrial Organization Society, vol. 50(1), pages 43-68, February.
    2. Lapointe, Simon & Perroni, Carlo & Scharf, Kimberley & Tukiainen, Janne, 2018. "Does market size matter for charities?," Journal of Public Economics, Elsevier, vol. 168(C), pages 127-145.
    3. Adam Pilny, 2014. "Mergers and Acquisitions in the German Hospital Market – Who are the Targets?," Ruhr Economic Papers 0518, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
    4. Bowblis John R. & Brunt Christopher S. & Grabowski David C., 2016. "Competitive Spillovers and Regulatory Exploitation by Skilled Nursing Facilities," Forum for Health Economics & Policy, De Gruyter, vol. 19(1), pages 45-70, June.
    5. Lauren Xiaoyuan Lu & Susan Feng Lu, 2022. "Does Nonprofit Ownership Matter for Firm Performance? Financial Distress and Ownership Conversion of Nursing Homes," Management Science, INFORMS, vol. 68(7), pages 5127-5145, July.
    6. Pilny, Adam, 2014. "Mergers and Acquisitions in the German Hospital Market – Who are the Targets?," Ruhr Economic Papers 518, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    7. Gaynor, Martin & Town, Robert J., 2011. "Competition in Health Care Markets," Handbook of Health Economics, in: Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), Handbook of Health Economics, volume 2, chapter 0, pages 499-637, Elsevier.
    8. Aaron J. Sojourner & Brigham R. Frandsen & Robert J. Town & David C. Grabowski & Min M. Chen, 2015. "Impacts of Unionization on Quality and Productivity," ILR Review, Cornell University, ILR School, vol. 68(4), pages 771-806, August.
    9. Scharf, Kimberley & Tukiainen, Janne, 2015. "Does Market Size Matter Also for Charities?," CAGE Online Working Paper Series 226, Competitive Advantage in the Global Economy (CAGE).
    10. John Bowblis, 2015. "The cost of regulation: More stringent staff regulations and nursing home financial performance," Journal of Regulatory Economics, Springer, vol. 47(3), pages 325-338, June.
    11. repec:zbw:rwirep:0518 is not listed on IDEAS
    12. John R. Bowblis & Stephen Crystal & Orna Intrator & Judith A. Lucas, 2012. "Response To Regulatory Stringency: The Case Of Antipsychotic Medication Use In Nursing Homes," Health Economics, John Wiley & Sons, Ltd., vol. 21(8), pages 977-993, August.
    13. Stephen Allan & Julien Forder, 2015. "The Determinants of Care Home Closure," Health Economics, John Wiley & Sons, Ltd., vol. 24(S1), pages 132-145, March.
    14. Raven H. Weaver & Karen A. Roberto & Nancy Brossoie & Pamela B. Teaster, 2022. "Residents' and Family Perspectives of Involuntary Healthcare Facility Closure and Relocation," Journal of Elder Policy, John Wiley & Sons, vol. 2(1), pages 75-102, March.
    15. Bowblis, John R. & McHone, Heather S., 2013. "An instrumental variables approach to post-acute care nursing home quality: Is there a dime's worth of evidence that continuing care retirement communities provide higher quality?," Journal of Health Economics, Elsevier, vol. 32(5), pages 980-996.
    16. John R. Bowblis & Christopher S. Brunt, 2014. "Medicare Skilled Nursing Facility Reimbursement And Upcoding," Health Economics, John Wiley & Sons, Ltd., vol. 23(7), pages 821-840, July.

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