Less intense postacute care, better outcomes for enrollees in medicare advantage than those in fee-for-service

Health Affairs

Volumn 36, Issue 1, 2017, Pages 91-100

  Huckfeldt, Peter J ^a   Escarce, José J ^b   Rabideau, Brendan ^c   Karaca Mandic, Pinar ^a   Sood, Neeraj ^c  

^a UNIVERSITY OF MINNESOTA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE HEART FAILURE; ARTICLE; BRAIN HEMORRHAGE; CEREBROVASCULAR ACCIDENT; CHRONIC LUNG DISEASE; COMMUNITY; COMORBIDITY; DEPRESSION; DIABETES MELLITUS; EMERGENCY CARE; FEMALE; HEART FAILURE; HOSPITAL; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HOSPITAL READMISSION; HUMAN; HYPERTENSION; LEG FRACTURE; LOWER LIMB; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; MEDICARE; MORBID OBESITY; NURSING; OBESITY; OSTEOARTHRITIS; OUTCOME ASSESSMENT; POSTACUTE CARE; PROSPECTIVE PAYMENT; REHABILITATION; REPLACEMENT ARTHROPLASTY; AGED; ECONOMICS; HEALTH CARE COST; PROCEDURES; STATISTICS AND NUMERICAL DATA; SUBACUTE CARE; UNITED STATES; VERY ELDERLY;

AGED; AGED, 80 AND OVER; ARTHROPLASTY, REPLACEMENT; FEE-FOR-SERVICE PLANS; FEMALE; HEALTH EXPENDITURES; HEART FAILURE; HUMANS; MALE; MEDICARE PART C; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT READMISSION; STROKE; SUBACUTE CARE; UNITED STATES;

EID: 85011886920     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2016.1027     Document Type: Article

References (24)

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14. The lower extremity joint replacement cases in our sample were nonbilateral. For a nonbilateral joint replacement, a patient must be morbidly obese or age eighty-five or older to count toward the 60 percent criterion.
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17. To access the Appendix, click on the Appendix link in the box to the right of the article online.
18. We identified these discharges by the use of Medicare Severity-Diagnosis Related Group numbers 469-70 for lower extremity joint replacement 61-66 for stroke, and 291-93 for heart failure.
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21. According to the Medicare Payment Advisory Commission's 2016 Data Book (see Note 1), 3.4 percent of Medicare hospital discharges were from critical access hospitals in 2014. The hospitals in our sample captured 92 percent of the discharges from short-term acute care hospitals (that is, those that were not critical access hospitals). Finally, only 121,532 FFS Medicare enrollees were admitted to long-term care hospitals in 2013.
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