Nursing Home Divestiture and Corporate Restructuring: Final Report

This project builds on previous ASPE-funded research on nursing homes. Specifically, a study of the nursing home liability insurance market conducted by MedStat which found that many nursing home chains have been reacting to environmental changes by divesting ownership of facilities in certain markets and pursuing other types of corporate restructuring. The tasks of the current project were to review the current literature on the topic and to pursue related analytic work using On-Line Survey, Certification, and Reporting (OSCAR) data. Because of the dominance of the national chains, the study emphasizes their activity in particular. This report summarizes the literature review and the analytic findings, and concludes with a discussion of the policy implications and areas for future research. [35 PDF pages]