Da Costa, Damian
(2023)
Policy Determinants of Medicaid Nursing Home Use in Pennsylvania, 2013-2019.
Doctoral Dissertation, University of Pittsburgh.
(Unpublished)
Abstract
This dissertation applies statistical modeling techniques to estimate the impact of policy determinants on nursing home use in the Medicaid-covered population in Pennsylvania during the years 2013-2019. Using difference-in-difference analysis, the first essay exploits Pennsylvania’s staggered implementation of mandatory managed care to investigate whether longstay (>100 day) nursing home residents in counties that moved to managed care were more likely to be successfully discharged to a community setting within six months of longstay incidence. The second essay models the association between regional subsidized housing access and discharge to a community setting among longstay nursing facility residents. The third essay uses probabilistic matching to assign HUD program status (public housing, Section 8 project-based, and Section 202) to a population of waiver-eligible Pennsylvania Medicaid enrollees. Time-to-event analysis is applied to compare hazard of nursing home admission among these three housing-defined Medicaid populations.
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Details
| Item Type: |
University of Pittsburgh ETD
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| Status: |
Unpublished |
| Creators/Authors: |
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| ETD Committee: |
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| Date: |
3 January 2023 |
| Date Type: |
Publication |
| Defense Date: |
15 December 2022 |
| Approval Date: |
3 January 2023 |
| Submission Date: |
16 December 2022 |
| Access Restriction: |
2 year -- Restrict access to University of Pittsburgh for a period of 2 years. |
| Number of Pages: |
99 |
| Institution: |
University of Pittsburgh |
| Schools and Programs: |
School of Public Health > Health Policy & Management |
| Degree: |
PhD - Doctor of Philosophy |
| Thesis Type: |
Doctoral Dissertation |
| Refereed: |
Yes |
| Uncontrolled Keywords: |
long-term care, medicaid, nursing homes, skilled nursing facilities, hcbs, hud, housing policy, section 202, difference-in-differences, survival analysis |
| Date Deposited: |
03 Jan 2023 15:11 |
| Last Modified: |
03 Jan 2023 15:11 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/44050 |
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