Date of Award

1-1-2017

Language

English

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

College/School/Department

Department of Public Administration and Policy

Content Description

1 online resource (viii, 101 pages) : illustrations (some color)

Dissertation/Thesis Chair

Erika G Martin

Committee Members

David S.T. Matkin, Johannes Karreth, David Hoffman

Keywords

Federal aid to nursing homes, Nursing homes, Urban elderly, Medicare, Medicaid

Subject Categories

Public Administration

Abstract

Nursing home finance is an important issue for policy makers and healthcare financial managers due to an aging population and the dependence of nursing facilities on public finance. In this dissertation, I have three specific aims: (1) to test whether neighborhood characteristics affect the availability of resources in urban nursing homes in the U.S.; (2) to identify the optimal administrative support for maintaining financially sustainable nonprofit nursing facilities in the U.S.; and (3) to examine the effect of Medicare-Medicaid financial alignment on government expenditure structures. This set of analyses provides a constructive framework for a better understanding of nursing home financial management and barriers to equal access to long-term care.

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