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Trends in Post-Acute Care use in Medicare Advantage Versus Traditional Medicare: A Retrospective Cohort Analysis.
Burke, Robert E; Roy, Indrakshi; Hutchins, Franya; Zhong, Song; Patel, Syama; Rose, Liam; Kumar, Amit; Werner, Rachel M.
Afiliación
  • Burke RE; Center for Health Equity Research and Promotion, Corporal Crescenz VA Medical Center, Philadelphia, PA, USA; Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania,
  • Roy I; Department of Epidemiology and Biostatistics, School of Public Health, Indiana University, Bloomington, IN, USA; Affiliated Research Scientist, Regenstrief Institute, Indianapolis, IN, USA.
  • Hutchins F; Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA; Center for Health Equity Research and Promotion, Pittsburgh VA Medical Center, Pittsburgh, PA, USA.
  • Zhong S; Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
  • Patel S; Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
  • Rose L; Health Economics Resource Center, Palo Alto VA Medical Center, Palo Alto, CA, USA; Stanford Surgery Policy Improvement Research and Education Center, Stanford University, Stanford, CA, USA.
  • Kumar A; Department of Physical Therapy, College of Health, University of Utah, Salt Lake City, UT, USA.
  • Werner RM; Center for Health Equity Research and Promotion, Corporal Crescenz VA Medical Center, Philadelphia, PA, USA; Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania,
J Am Med Dir Assoc ; 25(10): 105202, 2024 Oct.
Article en En | MEDLINE | ID: mdl-39155043
ABSTRACT

OBJECTIVES:

We sought to describe national trends in hospitalization and post-acute care utilization rates in skilled nursing facilities (SNFs) and home health (HH) for both Medicare Advantage (MA) and Traditional Medicare (TM) beneficiaries, reaching up to the COVID-19 pandemic (2015-2019).

DESIGN:

Retrospective, observational using 100% sample of Medicare Provider Analysis and Review file (MedPAR), the Medicare Beneficiary Summary File, the Minimum Data Set (MDS), and the Outcome and Assessment Information Set (OASIS). SETTING AND

PARTICIPANTS:

Medicare beneficiaries aged 66 and older enrolled in MA or TM who were hospitalized and discharged alive.

METHODS:

We first calculated the proportions of MA and TM beneficiaries who were hospitalized and who used any post-acute care, as well as the total number of days of post-acute care used. We also calculated the size of the post-acute care network used by TM and MA beneficiaries within each hospital in our sample and the measured quality (star ratings) of the post-acute care providers used.

RESULTS:

We found hospitalizations, SNF stays, and HH stays were all decreasing over time in both populations. Although similar proportions of MA and TM beneficiaries received SNF or HH care, MA beneficiaries received fewer days. The largest difference we found was in the number of post-acute care providers used in TM and MA, with MA using far fewer; however, quality ratings were similar among post-acute care providers used in each program. CONCLUSIONS AND IMPLICATIONS Together, these results suggest MA beneficiaries have fewer days in post-acute care, receive care from fewer providers of similar measured quality to TM, but have a similar number of days outside the hospital or SNF in the first 100 days after hospital discharge.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Instituciones de Cuidados Especializados de Enfermería / Medicare / Atención Subaguda / Medicare Part C / COVID-19 Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: J Am Med Dir Assoc Asunto de la revista: HISTORIA DA MEDICINA / MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Instituciones de Cuidados Especializados de Enfermería / Medicare / Atención Subaguda / Medicare Part C / COVID-19 Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: J Am Med Dir Assoc Asunto de la revista: HISTORIA DA MEDICINA / MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos