The Effects of Medicaid Payment and Payment-to-Cost Ratio on Nursing Home Five-Star Quality Ratings

Medicaid is the largest payer of nursing home (NH) care in the United States, yet Medicaid payments are not required to cover the full cost of care. Little is known about the relationship between Medicaid payment adequacy and Care Compare's star ratings. This study examined the association between Medicaid payment rate and whether Medicaid payment covered the cost of care and NH 5-star ratings.