Monday, October 26, 2026

3:00-4:00 p.m

17-E. Do Low Medicaid Payments Worsen Disparities in Nursing Homes?

Do Medicaid payment levels affect quality and influence racial and ethnic disparities in individual nursing homes? This session will present findings from recent research on this previously unexplored question. Presenters will describe their analysis of a new national database containing facility- and resident-level data for nearly 9,500 nursing homes across 44 states. They'll share findings on racial and ethnic disparities in nursing home quality and outcomes and examine whether these disparities are associated with Medicaid payment levels. Discover how Medicaid reimbursement shapes the association between a nursing home's racial and ethnic composition, 5-star quality ratings, staffing levels, and resident-level quality outcomes.

  • Edward Miller, Professor and Chair, Department of Gerontology, UMass Boston Gerontology — Boston, MA, USA
  • Elizabeth Simpson, Doctoral Candidate, UMass Boston Gerontology — Boston, MA, USA
  • Marc Cohen, Co-Director, LeadingAge LTSS Center @UMass Boston, UMass Boston Gerontology — Boston, MA, USA
  • John Bowblis, Research Fellow, Scripps Gerontology Center at Miami University — Oxford, OH, USA