Brown University

State Policies to Improve Transparency of Nursing Home Ownership and Related-Party Transactions

Description

Abstract:
State-level Medicaid cost reporting requirements can play a critical role in improving accountability. While federal rules require some disclosure of ownership, they do not mandate reporting of related-party transactions, nor do they identify the “ultimate owner” controlling a facility. Analysis of cost-reporting requirements in Massachusetts, Illinois, California, and Connecticut shows wide variation in transparency and audit practices. Studying variations in state-level cost reporting requirements can identify which strategies are most effective, feasible, and equitable in practice. A related brief discusses federal policy options to improve transparency of nursing home ownership and finances.

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Citation

Erin Fuse Brown, Jada Owens, Isabelle Boun, et al., "State Policies to Improve Transparency of Nursing Home Ownership and Related-Party Transactions" (2025). Center for Advancing Health Policy through Research (CAHPR) Digital Collection. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/p3bk-bz35

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