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Nonprofit Ownership and Quality in Medicaid's Long-Term Care Program for Persons with Developmental Disabilities

Author: SAMUEL L. BROWN
Published in JHHSA, Vol. 25 No. 3

To assess ownership-related differences in the Intermediate Care
Facility Program for persons with Mental Retardation (ICF/MR)
Industry, this article analyzes a nationally representative sample of data
on Medicaid certified facilities from the Health Care Financing Admi-
nistration On-line Survey and Certification Reporting System. This
study found that nonprofit providers provided a higher level of quality
than for-profit facilities when organizational size and facility-mix were
controlled. The size and case-mix composition of these facilities were
also influenced by nonprofit ownership type. Nonprofit providers
offered smaller facilities, on average, and were more likely to enroll
heavy case-mix residents than their for-profit counterparts.

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