1. State-Level Adverse Outcomes Among Long-Term Services and Supports Users With Alzheimer's Disease and Related Dementias.
- Author
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Kim H, Senders A, Simeon E, Sergi C, Huang SS, Dodge HH, and McConnell KJ
- Subjects
- Humans, United States, Male, Female, Aged, Aged, 80 and over, Emergency Service, Hospital statistics & numerical data, Home Care Services statistics & numerical data, Community Health Services statistics & numerical data, Alzheimer Disease, Nursing Homes statistics & numerical data, Medicaid statistics & numerical data, Medicare statistics & numerical data, Hospitalization statistics & numerical data, Dementia, Long-Term Care statistics & numerical data
- Abstract
Home- and community-based services (HCBS) users, on average, experience hospitalizations more frequently than nursing facility residents. However, little is known about state-level variation in such adverse events among these groups. Using 2018 Medicare and Medicaid claims for dual-eligible beneficiaries with Alzheimer's disease and related dementias, we described hospitalization and emergency department (ED) visit rates among HCBS users and nursing facility residents and observed substantial state-level variation. In addition, consistent with prior evidence, we found more frequent hospitalizations and ED visits among HCBS users than nursing facility residents. The magnitude of this difference varied considerably across states, and the degree of variation was greatest among beneficiaries with six or more comorbid conditions. Our findings represent a crucial initial exploration of the state-level variation in adverse events among HCBS users and nursing facility residents, paving the way for further investigations into factors that contribute to this variability., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2024
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