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Dual Eligibility, Selection of Skilled Nursing Facility, and Length of Medicare Paid Postacute Stay.
- Source :
-
Medical Care Research & Review . Aug2014, Vol. 71 Issue 4, p384-401. 18p. - Publication Year :
- 2014
-
Abstract
- Medicare and Medicaid dual-eligible beneficiaries use more medical care and experience worse health outcomes than Medicare-only beneficiaries. This article points to a possible inefficiency in the skilled nursing facility (SNF) admission process, specifically that patients and SNFs are partially matched based on dual-eligibility status, and investigates its influence on patients’ SNF length of stay. Using a set of fee-for-service beneficiaries newly admitted for Medicare-paid SNF care, we document two findings: (1) compared with Medicare-only patients, dual-eligibles are more likely to be discharged to SNFs with low nurse-to-patient ratios and (2) dual-eligibles are more likely to become long-stay nursing home residents than Medicare-only beneficiaries if treated in SNFs with low nurse-to-patient ratios. We conclude that changes in the current SNF care referral process have the potential to reduce excess SNF utilization by dual-eligible beneficiaries and could help reduce spending by both Medicare and Medicaid. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10775587
- Volume :
- 71
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Medical Care Research & Review
- Publication Type :
- Academic Journal
- Accession number :
- 96921238
- Full Text :
- https://doi.org/10.1177/1077558714533824