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Organizational Form and Nursing Home Behavior
William Luksetich
Mary E. Edwards
St. Cloud State University
Thomas M. Carroll
University of Nevada, Las Vegas
The authors identify differences in performance among for-profit, nonprofit, and government-owned nursing homes in Minnesota. They investigate whether homes of diverse ownership types distribute their surpluses differently, if those differences narrow over time, and if the various ownership types react differently to changes in the regulatory environment. Government-owned and nonprofit homes spend more per resident day for nursing care costs than do independent for-profit homes. Chain affiliation is important in explaining persistent spending differences. There is an agency problem: Nursing homes belonging to chains behave differently from their independent counterparts. Secular non-profits belonging to national chains spend less of their surplus on nursing care costs after regulations allowed more of this form of spending to be recouped in rates charged to the residents. The secular firms affiliated with national chains spend less on nursing care than the control group. As the predicted surpluses of for-profit chains increase, the owners’ compensation falls.
References
- Arling, G., Nordquist, R., & Capitaman, J. (1987). Nursing home cost and ownership type: Evidence of interaction effects. Health Services Research, 22, 255-269.[Web of Science][Medline]
[Order article via Infotrieve]
- Bradley, E. H., & Walker, L. C. (1998). Education and advance care planning in nursing homes: The impact of ownership type. Nonprofit and Voluntary Sector Quarterly, 27, 339-357.[Abstract]
- Department of Human Services, State of Minnesota. (1984-1991). Annual cost report for long-term care facilities: Nursing homes. St. Paul, MN: Department of Human Services.
- Edwards, F. R. (1977). Managerial objectives in regulated industries: Expense-preference behavior in banking. Journal of Political Economy, 88, 147-162.[CrossRef]
- Fizel, J. L., & Nunnikhoven, T. S. (1993). Technical efficiency of for-profit and non-profit nursing homes. Managerial and Decision Economics, 13, 429-439.
- Fizel, J. L., & Nunnikhoven, T. S. (1993). The efficiency of nursing home chains. Applied Economics, 25, 49-55.
- Hansmann, H. (1980). The role of nonprofit enterprise. Yale Law Journal, 89, 835-910.[CrossRef][Web of Science]
- Hansmann, H. (1981). Nonprofit firms in the performing arts. Bell Journal of Economics, 23, 341-361.[CrossRef]
- Hoerger, T. (1991). "Profit" variability in for-profit and not-for-profit hospitals. Journal of Health Economics, 10, 259-289.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Johnson, R., & Libecap, G. (1989). Agency growth, salaries and the protected bureaucrat. Economic Inquiry, xxvii, 431-451.
- Luksetich, W. A., Edwards, M. E., Carroll, T., & Persons, D. (1992, July). Organization form and nursing home performance. Paper presented at the Western Economics Association meetings, St. Cloud State University, MN.
- Marmor, T., Schlesinger, M., & Smithey, R. W. (1987). Nonprofit organizations and health care. In W. W. Powell (Ed.), The nonprofit sector: Aresearch handbook (pp. 221-239). New Haven, CT: Yale University Press.
- McKay, N. L. (1991). The effect of chain ownership on nursing home costs. Health Services Research, 26, 109-124.[Web of Science][Medline]
[Order article via Infotrieve]
- Meiners, M. (1982). An econometric analysis of the major determinants of nursing home costs in the United States. Social Science and Medicine, 16, 887-898.
- Nyman, J. A. (1988). The effect of competition on nursing home expenditures under prospective reimbursement. Health Services Research, 23, 555-574.[Web of Science][Medline]
[Order article via Infotrieve]
- Nyman, J. A., & Bricker, D. L. (1989). Profit incentives and technical efficiency in the production of nursing home care. Review of Economics and Statistics, 71, 586-594.[CrossRef]
- Office of Legislative Auditor, Program Evaluation Division. (1991). Nursing homes: A financial review. St. Paul, MN: Veterans Service Building.
- Seldon, J. R., & Khandker, W. (1990). Quality of care and cost-shifting in the for-profit hospital. Atlantic Economic Journal, 18(3), 89-95.
- Valdmanis, V. (1992). Sensitivity analysis for DEAmodels: An empirical example using public vs. NFP hospitals. Journal of Public Economics, 48, 185-205.[CrossRef]
- Weisbrod, B. A. (1988). The nonprofit economy. Cambridge, MA: Harvard University Press.
- Weisbrod, B. A., & Schlesinger, M. (1986). Public, private, nonprofit ownership and the response to asymmetric information: The case of nursing homes. In S. Rose-Ackerman (Ed.), The economics of nonprofit institutions: Studies in structure and policy (pp. 133-151). New York: Oxford University Press.
- White, H. (1980). Aheteroskedasticity-consistent covariance matrix estimator and a direct test for heteroskedasticity. Econometrica, 48, 817-838.[CrossRef][Web of Science]
- Wolff, N., & Schlesinger, M. (1998). Access, hospital ownership, and competition between forprofit and nonprofit institutions. Nonprofit and Voluntary Sector Quarterly, 27, 203-236.[Abstract]
Nonprofit and Voluntary Sector Quarterly, Vol. 29, No. 2,
255-279 (2000)
DOI: 10.1177/0899764000292003
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