CHCS December 14, 2023
Emma Rauscher and Carrie Graham, Center for Health Care Strategies

There are over 15,000 nursing homes (NHs) in the United States caring for 1.2 million people who need inpatient rehabilitation, skilled nursing care, and/or personal assistance services. While most NHs are for-profit and privately owned, they are primarily funded by taxpayer dollars through Medicaid and/or Medicare. Because of the very large public investment in NH care, U.S. policymakers, health care and aging stakeholders, residents, and advocates have all expressed interest in increasing operational transparency — including nursing home ownership, cost, and quality of care.

Following efforts to increase NH transparency through the Affordable Care Act and Centers for Medicare & Medicaid Services’...

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