Use of outpatient care in VA and Medicare among disability-eligible and age-eligible veteran patients

BMC Health Services Research

Volumn 12, Issue 1, 2012, Pages

  Liu, Chuan Fen ^a,b   Bryson, Chris L ^a,c   Burgess, James F ^d,e   Sharp, Nancy ^a,b   Perkins, Mark ^a   MacIejewski, Matthew L ^f,g  

^a VA PUGET SOUND HEALTH CARE SYSTEM   (United States)

^b UNIVERSITY OF WASHINGTON   (United States)

^c UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^d VA BOSTON HEALTHCARE SYSTEM   (United States)

^e BOSTON UNIVERSITY   (United States)

^f DURHAM VA MEDICAL CENTER   (United States)

^g DUKE UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Medicare; Outpatient; Primary care; Utilization; Veterans

Indexed keywords

AGED; AMBULATORY CARE; ARTICLE; COHORT ANALYSIS; DISABILITY; FEMALE; HEALTH SERVICE; HUMAN; INSURANCE; MALE; MEDICARE; MENTAL HEALTH SERVICE; MIDDLE AGED; PRIMARY HEALTH CARE; RETROSPECTIVE STUDY; SPECIALIZATION; UNITED STATES; UTILIZATION REVIEW; VETERAN;

AGED; AMBULATORY CARE; COHORT STUDIES; DISABILITY EVALUATION; FEMALE; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; MALE; MEDICARE; MENTAL HEALTH SERVICES; MIDDLE AGED; PRIMARY HEALTH CARE; RETROSPECTIVE STUDIES; SPECIALIZATION; UNITED STATES; UTILIZATION REVIEW; VETERANS; VETERANS DISABILITY CLAIMS;

EID: 84862811170     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-12-51     Document Type: Article

References (55)

1. Cubanski J, et al. Medicare Chartbook Menlo Park: The Henry J. Kaiser Family Foundation 3 2005
2. Briesacher B, et al. Medicare's Disabled Beneficiaries: The Forgotten Population in the Debate Over Drug Benefits The Commonwealth Fund and Henry J. Kaiser Foundation 2002 22419800
3. VHA enrollees' health care coverage and use of care. Shen Y, et al. Med Care Res Rev 2003 60 2 253 267 10.1177/1077558703060002007 12800686 (Pubitemid 36605436)
4. VHA pharmacy use in veterans with Medicare drug coverage. Morgan RO, et al. Am J Manag Care 2009 15 3 1 e8 19298095
5. Reinventing VA health care: systematizing quality improvement and quality innovation. Kizer KW, Demakis JG, Feussner JR, Med Care 2000 38 6 Suppl 1 7 I16 10843266
6. Changes in Characteristics of Veterans Using the VHA Health Care System between 1996 and 1999. Liu CF, Maciejewski ML, Sales AE, Journal of Health Research Policy and System 2005 3 1 5 10.1186/1478-4505-3-5 (Pubitemid 41522167)
7. Profile of persons with disabilities in Medicare and Medicaid. Davis MH, O'Brien E, Health Care Financ Rev 1996 17 4 179 211 10172929 (Pubitemid 126448879)
8. Uncovering the health challenges facing people with disabilities: the role of health insurance. Hanson KW, et al. Health Aff (Millwood) 2003 Suppl Web Exclusives 3 552-565
9. Access and coordination of health care service for people with disabilities. Hwang K, et al. J Disabil Pol Stud 2009 20 1 28 34 10.1177/1044207308315564
10. Do Medicare patients with disabilities receive preventive services? A population-based study. Chan L, et al. Arch Phys Med Rehabil 1999 80 6 642 646 10.1016/S0003-9993(99)90166-1 10378489 (Pubitemid 29269645)
11. Health care utilization among Medicare-Medicaid dual eligibles: a count data analysis. Moon S, Shin J, BMC Publ Health 2006 6 88 10.1186/1471-2458-6-88
12. Effect of Medicare advantage payments on dually eligible Medicare beneficiaries. Atherly A, Dowd BE, Health Care Financ Rev 2005 26 3 93 104 17290630 (Pubitemid 40756872)
13. Disabled Medicare beneficiaries by dual eligible status: California, 1996-2001. O'Leary JE, Sloss EM, Melnick G, Health Care Financ Rev 2007 28 4 57 67 17722751 (Pubitemid 47173627)
14. Special needs plans and the coordination of benefits and services for dual eligibles. Grabowski DC, Health Aff (Millwood) 2009 28 1 136 146 10.1377/hlthaff.28.1.136
15. Working age Medicare beneficiaries with disabilities: population characteristics and policy considerations. Kennedy J, Tuleu IB, J Health Hum Serv Adm 2007 30 3 268 291 18236704
16. Tracking disability disparities: the data dilemma. Iezzoni LI, J Health Serv Res Policy 2008 13 3 129 130 10.1258/jhsrp.2008.008034 18573759 (Pubitemid 352029752)
17. Richardson T, et al. Redistribution effect of introducing Census 2000 data into the CDBG formula Washington: U.S. Dept. of Housing and Urban Development 2003 243
18. Patterns of health care and disability for medicare beneficiaries under 65. Riley GF, Lubitz JD, Zhang N, Inquiry 2003 40 1 71 83 10.5034/inquiryjrnl- 40.1.71 12836909 (Pubitemid 36718099)
19. Medicare doesn't work as well for younger, disabled beneficiaries as it does for older enrollees. Cubanski J, Neuman P, Health Aff (Millwood) 2010 29 9 1725 1733 10.1377/hlthaff.2009.0962
20. Variations in Medicare access and satisfaction by health status: 1991-93. Rosenbach ML, Acamache KW, Khandker RK, Health Care Financ Rev 1995 17 2 29 49 10157378 (Pubitemid 26113784)
21. Quality dimensions that most concern people with physical and sensory disabilities. Iezzoni LI, et al. Arch Intern Med 2003 163 17 2085 2092 10.1001/archinte.163.17.2085 14504123 (Pubitemid 37151252)
22. Dissatisfaction with medical services among Medicare beneficiaries with disabilities. Jha A, et al. Arch Phys Med Rehabil 2002 83 10 1335 1341 10.1053/apmr.2002.33986 12370864
23. Studying outcomes and hospital utilization in the elderly. The advantages of a merged data base for Medicare and Veterans Affairs hospitals. Fleming C, et al. Med Care 1992 30 5 377 391 10.1097/00005650-199205000-00001 1583916
24. Where do elderly veterans obtain care for acute myocardial infarction: department of veterans affairs or medicare? Wright SM, et al. Health Serv Res 1997 31 6 739 754 9018214 (Pubitemid 27053531)
25. Increasing use of Medicare services by veterans with acute myocardial infarction. Wright SM, et al. Medical Care 1999 37 6 527 528 10.1097/00005650-199906000-00001 10386564
26. Hospital use and survival among Veterans Affairs beneficiaries. Ashton CM, et al. N Engl J Med 2003 349 17 1637 1646 10.1056/NEJMsa003299 14573736 (Pubitemid 37288571)
27. Veterans Health Administration and Medicare outpatient health care utilization by older rural and urban New England veterans. Weeks WB, et al. J Rural Health 2005 21 2 167 171 10.1111/j.1748-0361.2005.tb00077.x 15859054 (Pubitemid 40463569)
28. Veterans' access to and use of Medicare and Veterans Affairs health care. Hynes DM, et al. Med Care 2007 45 3 214 223 10.1097/01.mlr.0000244657.90074.b7 17304078
29. Do older rural and urban veterans experience different rates of unplanned readmission to VA and non-VA hospitals? Weeks WB, et al. J Rural Health 2009 25 1 62 69 10.1111/j.1748-0361.2009.00200.x 19166563
30. Use of Outpatient Care in VA and Medicare among Veterans Receiving Primary Care from Community-based and Hospital Outpatient Clinics. Liu CF, Chapko MK, Bryson CL, Burgess JF, Fortney JC, Perkins MW, Sharp ND, Maciejewski ML, et al. Health Serv Res 2010 45 5 1268 1286 10.1111/j.1475-6773.2010.01123.x 20831716
31. Relationship between Clinical Conditions and Use of Veterans Affairs Health Care among Medicare-enrolled Veterans. Petersen LA, et al. Health Serv Res 2010 45 3 29
32. Importance of Health System Context for Evaluating Utilization Patterns Across Systems. Burgess JF Jr, Maciejewski ML, Bryson CL, Chapko ML, Fortney JC, Perkins MW, Sharp ND, Liu CF, et al. Health Econ 2011 20 2 239 251 10.1002/hec.1588 20169587
33. Health status in VA patients: results from the Veterans Health Study. Kazis LE, et al. Am J Med Qual 1999 14 1 11
34. Does the VA provide "primary" primary care? Petersen LA, Wright S, J Gen Intern Med 1999 14 5 318 319 10.1046/j.1525-1497.1999.00343.x 10337043 (Pubitemid 29226679)
35. Utilization of VA and Medicare services by Medicare-eligible veterans: the impact of additional access points in a rural setting. Weeks WB, Mahar PJ, Wright SM, J Healthc Manag 2005 50 2 95 106 discussion 106-7 15839324
36. Comprehensive care for women veterans: indicators of dual use of VA and non-VA providers. Bean-Mayberry B, et al. J Am Med Womens Assoc 2004 59 3 192 197 15354372
37. Cross-system service use among psychiatric patients: data from the Department of Veterans Affairs. Hoff RA, Rosenheck RA, J Behav Health Serv Res 2000 27 1 98 106 10.1007/BF02287807 10695244 (Pubitemid 30091416)
38. Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. Hoge CW, Auchterlonie JL, Milliken CS, JAMA 2006 295 9 1023 1032 10.1001/jama.295.9. 1023 16507803
39. Utilization and expenditures of veterans obtaining primary care in community clinics and VA medical centers: an observational cohort study. Maciejewski ML, et al. BMC Health Serv Res 2007 7 56 10.1186/1472-6963-7-56 17442115 (Pubitemid 46652066)
40. The behavioral model for vunerable populations: application to medical use and outcomes for homeless people. Gleberg L, Andersen RM, Leake BD, Health Serv Res 2000 34 6 30
41. Principal inpatient diagnostic cost group model for Medicare risk adjustment. Pope GC, et al. Health Care Financ Rev 2000 21 3 93 118 11481770
42. Predicting costs of care using a pharmacy-based measure risk adjustment in a veteran population. Sales AE, et al. Med Care 2003 41 6 753 760 12773841
43. Case-mix adjusting performance measures in a veteran population: pharmacy- and diagnosis-based approaches. Liu CF, et al. Health Serv Res 2003 38 5 1319 1337 10.1111/1475-6773.00179 14596393 (Pubitemid 37288500)
44. The performance of administrative and self-reported measures for risk adjustment of VA primary care patient costs. Maciejewski ML, et al. Heal Serv Res 2005 40 3 887 904 10.1111/j.1475-6773.2005.00390.x (Pubitemid 40791621)
45. Comparison of risk adjustment measures based on self-report, administrative data and pharmacy records to predict mortality. Fan VS, et al. Health Serv Outcome Res Meth 2006 6 21 36 10.1007/s10742-006-0004-1 (Pubitemid 44824566)
46. Risk adjustment of Medicare capitation payments using the CMS-HCC model. Pope GC, et al. Health Care Financ Rev 2004 25 4 119 141 15493448 (Pubitemid 39201560)
47. StataCorp, STATA Reference Manual: Release 11: College Station, TX 2009
48. Perry M, Dulio A, Hanson K, The Role of Health Coverage for People with Disabilities: Findings from 12 Focus Groups with People with Disabilities Menlo Park: The Henry J. Kaiser Family Foundation 2003
49. Risk and protective factors associated with suicidal ideation in veterans of Operations Enduring Freedom and Iraqi Freedom. Pietrzak RH, et al. J Affect Disord 2009 123 1-3 102 107 19819559
50. Risk of suicide among US veterans after returning from the Iraq or Afghanistan war zones. Kang HK, Bullman TA, JAMA 2008 300 6 652 653 10.1001/jama.300.6.652 18698062
51. Posttraumatic stress disorder mediates the relationship between mild traumatic brain injury and health and psychosocial functioning in veterans of Operations Enduring Freedom and Iraqi Freedom. Pietrzak RH, et al. J Nerv Ment Dis 2009 197 10 748 753 10.1097/NMD.0b013e3181b97a75 19829203
52. Bringing the war back home: mental health disorders among 103,788 US veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities. Seal KH, et al. Arch Intern Med 2007 167 5 7
53. Veterans' Disability Benefits Commission, Honoring the Call to Duty: Vaterans' Disability Benefits in the 21st Century Washington: Veterans' Disability Benefits Commission 2007
54. Casualites of war-military care for the wounded from Iraq and Afghanistan. Gawande A, N Engl J Med 2004 351 24 2471 2475 10.1056/NEJMp048317 15590948 (Pubitemid 39603153)
55. Traumatic brain injury in the war zone. Okie S, N Engl J Med 2005 352 20 2043 2047 10.1056/NEJMp058102 15901856 (Pubitemid 40664304)