Work in Progress
Work in Progress: job market 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. "Government Intervention in Nursing Homes: Assessing Ownership Dynamics and Quality of Care Under Non-State Government Owned Supplemental Payment Programs" work in progress.
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 .
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.
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.
Work in Progress: working paper
Do nursing home residents with Alzheimer’s disease and related dementias (ADRD) receiving antipyschotic medications more often based on ownership structures, and do rates of diagnosis excluding public reporting requirements of antipsychotic medication use differ by these ownership structures?
Recommended citation: Bowblis, John, Megdalynn Fisher, 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.
Work in Progress: working paper
Medicaid expansion has increased the number of nursing home (NH) residents (Ritter et al, Van Houtven et al) but there is a lack of research on individual level decisions and facilty level reactions. To expand this research base, we examine resident level data to determine how quickly Medicaid expansion leads to changes in the type of long-stay patients in NHs, and how that translates into changes in the characteristics of long-stay residents and NHs over time. We hypothesize that SMI populations under 65 will be the group that experiences the largest increase.
Recommended citation: Bowblis, John, Megdalynn Fisher, Madeline Mustaine, and Kosali Simon. "Medicaid Expansion and Nursing Home Outcomes" work in progress.
In Preparation
Fisher, Megdalynn, Ari Ne’eman, Kosali Simon. “Resident Intent to Return to the Community: Implications of Facility Quality and Ownership on Transition Patterns.”
Bowblis, John, Megdalynn Fisher, Lady Ikeya, Madeline Mustaine, Kosali Simon. “Racial Sorting Among Nursing Home Residents.”
Bowblis, John, Megdalynn Fisher, Apoorva Gurtu, Kosali Simon, Coady Wing. “Medical Marijuana and Nursing Homes.”
Bowblis, John, Megdalynn Fisher, Apoorva Gurtu, Kosali Simon. “Climate Change and Environmental Impacts on Nursing Home Outcomes.”
