干旱区生态环境知识资源中心(Arid): Trends in Post-Acute Care use in Medicare Advantage Versus Traditional Medicare: A Retrospective Cohort Analysis

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DOI	10.1016/j.jamda.2024.105202
	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.
通讯作者	Burke, RE
来源期刊	JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
ISSN	1525-8610
EISSN	1538-9375
出版年	2024
卷号	25 期号:10
英文摘要	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. (c) 2024 AMDA- The Society for Post-Acute and Long-Term Care Medicine.
英文关键词	Home health Medicare post-acute care skilled nursing facility
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:001305704500001
WOS关键词	POSTACUTE CARE ; OUTCOMES ; HEALTH
WOS类目	Geriatrics & Gerontology
WOS研究方向	Geriatrics & Gerontology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/404722
推荐引用方式 GB/T 7714	Burke, Robert E.,Roy, Indrakshi,Hutchins, Franya,et al. Trends in Post-Acute Care use in Medicare Advantage Versus Traditional Medicare: A Retrospective Cohort Analysis[J],2024,25(10).
APA	Burke, Robert E..,Roy, Indrakshi.,Hutchins, Franya.,Zhong, Song.,Patel, Syama.,...&Werner, Rachel M..(2024).Trends in Post-Acute Care use in Medicare Advantage Versus Traditional Medicare: A Retrospective Cohort Analysis.JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION,25(10).
MLA	Burke, Robert E.,et al."Trends in Post-Acute Care use in Medicare Advantage Versus Traditional Medicare: A Retrospective Cohort Analysis".JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION 25.10(2024).