Journal article
Effects of Nursing Home Participation in the Medicare Shared Savings Program on Staffing and Deficiency Citations
Journal of applied gerontology
10/28/2025
DOI: 10.1177/07334648251392996
PMID: 41152699
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.
Details
- Title: Subtitle
- Effects of Nursing Home Participation in the Medicare Shared Savings Program on Staffing and Deficiency Citations
- Creators
- Huang Huang - Augusta UniversityXi Zhu - UCLA HealthGeorge Wehby - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of applied gerontology
- DOI
- 10.1177/07334648251392996
- PMID
- 41152699
- NLM abbreviation
- J Appl Gerontol
- ISSN
- 1552-4523
- eISSN
- 1552-4523
- Publisher
- Sage
- Grant note
- Federal Office of Rural Health Policy: U1C RH20419
The information, conclusions, and opinions expressed in this paper are those of the authors. We gratefully acknowledge the support from Dr. Keith Mueller, Fred Ullrich, and the RUPRI Center for Rural Health Policy Analysis at the University of Iowa for facilitating data acquisition. We also thank Drs. Lili Xu and Wei Lyu for their constructive insights.
- Language
- English
- Electronic publication date
- 10/28/2025
- Academic Unit
- Preventive and Community Dentistry; Health Management and Policy; Economics
- Record Identifier
- 9985016424802771
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