Structural Quality Standards for Nursing Facilities: Quality Depends on Environment — Policy Must Drive Modernization
Aging nursing facility buildings are not just a modernization issue—they are a resident safety issue, and Medicaid policy should drive replacement of obsolete environments with structurally capable ones.
From Capital to Capability: What Medicaid Pays For Determines What Gets Built
Medicaid pays as if all nursing facilities are the same—this paper shows how tying reimbursement to structural quality can finally drive the modern buildings residents deserve.
Ohio’s Highest Court Spoke. Medicaid Still Hasn’t Acted.
More than four months after a unanimous Ohio Supreme Court order, Ohio Medicaid has not complied.
Quality: What Happened in Ohio?
Ohio made quality the cornerstone of nursing facility reimbursement—then retreated.
Rethinking the Narrative: Stories that Shape Nursing Home Policy
Challenging the conventional wisdom in nursing home policy to build a system that rewards quality, not excuses.
Beyond the Middleman: Rethinking Medicare and Medicaid in the Age of Automation
As automation and AI reshape industries, should Medicare and Medicaid continue relying on private insurers for administration?
Ensuring Fairness in Michigan’s Medicaid Nursing Home Reimbursement System
Michigan's Medicaid reimbursement system creates a funding disparity between nursing homes based solely on ownership classification, raising significant questions about healthcare equity across the state.