@techreport{NBERw12361, title = "Nursing Home Quality as a Public Good", author = "David C. Grabowski and Jonathan Gruber and Joseph J. Angelelli", institution = "National Bureau of Economic Research", type = "Working Paper", series = "Working Paper Series", number = "12361", year = "2006", month = "July", URL = "http://www.nber.org/papers/w12361", abstract = {There has been much debate among economists about whether nursing home quality is a public good across Medicaid and private-pay patients within a common facility. However, there has been only limited empirical work addressing this issue. Using a unique individual level panel of residents of nursing homes from seven states, we exploit both within-facility and within-patient variation in payer source and quality to examine this issue. We also test the robustness of these results across states with different Medicaid and private-pay rate differentials. Across our various identification strategies, the results generally support the idea that quality is a public good within nursing homes. That is, within a common nursing home, there is very little evidence to suggest that Medicaid-funded residents receive consistently lower quality care relative to their private-paying counterparts.}, }