CMS Five-Star Ratings Have Not Helped Access to Quality Nursing Home Care among Dual Eligibles

May 8, 2015 | Aging Services Risk, Quality, & Safety Guidance

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​Beneficiaries of both Medicare and Medicaid remained more likely than non-dual-eligible beneficiaries to reside in the lowest-quality nursing homes after the introduction of the Centers for Medicare and Medicaid Services (CMS) five-star rating system, but their representation in the highest-quality nursing homes did not keep pace, according to a study in the May 2015 Health Affairs. The study is based on a review of more than 5.5 million residents in 15,894 nursing homes from 2008, when the five-star system was introduced, to 2010. Over that time, non–dual eligibles were 3.6% more likely to reside in five-star homes, whereas dual eligibles were 2.2% more likely to do so.

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