Work in Progress

End of Life Inpatient Spending and Hospital Advertising

Work in Progress: under review

Does hospital advertising inform patient choice or represent ‘cheap talk’? We investigate the hospital advertising at the market level, establishing a correlation with end-of-life inpatient spending, a proxy for geographical differences in hospital spending on care with a uniform outcome.

Recommended citation: Freedman, Seth, Victoria Perez, Megdalynn Fisher. "End of Life Inpatient Spending and Hospital Advertising" under review .

Antipsychotic Medication Use Among Nursing Home Residents with Alzheimer’s Disease and Related Dementias: Ownership Structures and Racial Disparities

Work in Progress: working paper

Are nursing home residents with Alzheimer’s disease and related dementias (ADRD) receive antipyschotic medications more often than residents with other severe mental illnesses? What disparities in treatment through antipsychotic medications are present in nursing homes? We explore the relationships between race, payment, dementia, serious mental illness, and ADRD.

Recommended citation: Bowblis, John, Megdalynn Fisher, Shruthi Jayashankar, Judith Lucas, Kosali Simon. "Antipsychotic Medication Use Among Nursing Home Residents with Alzheimer's Disease and Related Dementias: Ownership Structures and Racial Disparities." work in progress.

Nursing Home Use of Antipsychotics: Does Public Reporting Incentivize Gaming?

Work in Progress: working paper

The number of nursing home residents with schizophrenia has increased due to their exemption from the requirement for antipsychotic medication quality reporting. Since public reporting incentivizes either more accurate diagnosis or upcoding, we examine these effects at the reporting threshold based on number of residents in the facility.

Recommended citation: Bowblis, John, Megdalynn Fisher, Kosali Simon. "Nursing Home Use of Antipsychotics: Does Public Reporting Incentivize Gaming?" work in progress.

Government Intervention in Nursing Homes: Assessing Ownership Dynamics and Quality of Care Under Non-State Government Owned Supplemental Payment Programs

Work in Progress: working paper

Do subsidies through Non-State Government Owned nursing facility supplemental payment programs spur government acquisitions and do the subsidies translate to fewer deficiencies and better quality?

Recommended citation: Fisher, Megdalynn. "Is Government Acquisition of Nursing Homes an Improvement? Medicaid Supplemental Payments to Non-State Government-Owned Nursing Facilities, Quality, and Enforcement" work in progress.

Racial Sorting Among Nursing Home Residents

Work in Progress: working paper

We contribute to the literature measuring segregation in the health care setting by constructing dissimilarity indices (DI) for nursing homes and counties to examine relationships with income inequality, reliance on Medicaid, urbanicity, and quality.

Recommended citation: Bowblis, John, Megdalynn Fisher, and Kosali Simon. "Racial Sorting Among Nursing Home Residents" work in progress.