| Autor: |
Laura M. Keohane, Sunil Kripalani, David G. Stevenson, Melinda B. Buntin |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Medical care research and review : MCRR. |
| ISSN: |
1552-6801 |
| Popis: |
Dual-eligible beneficiaries with Medicare and Medicaid coverage generally have greater utilization and spending levels than Medicare-only beneficiaries on postacute services, raising questions about how strategies to curb postacute spending will affect dual-eligible beneficiaries. We compared trends in postacute spending and use related to inpatient episodes at a population and episode level for dual-eligible and Medicare-only beneficiaries over the years 2009–2017. Although dual-eligible beneficiaries had consistently higher inpatient and postacute service use and spending than Medicare-only populations, both populations experienced similar declines in inpatient and postacute measures over time. Conditional on having an inpatient stay, most types of postacute service use increased regardless of dual-eligible status. These consistent patterns in episode-related postacute spending for Medicare-only and dual-eligible beneficiaries—decreased episode-related spending and use on a per beneficiary basis and increased use and spending on a per episode basis—suggest that changing patterns of care affect both populations. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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