LTC & Disablilities

Medicare Star Ratings Allow Nursing Homes to Game the System


Medicare’s Skewed Star System

A 5-star rating system of nursing homes begun in 2009 is intended to provide consumers with a way to measure quality. A home’s rating is based on three criteria: its performance on annual health inspections, its staffing levels and its performance on quality indicators that are collected for every patient. But only the health inspections are performed by the government; the other two are reported by the homes. 

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