Recent Health Care Use and Medicaid Entry of Medicare Beneficiaries
Recent Health Care Use and Medicaid Entry of Medicare Beneficiaries
复制标题
DOI：
10.1093/geront/gnw189
复制
发表时间：
2017-10-01
期刊：
影响因子：
5.7
通讯作者：
Mor, Vincent
中科院分区：
文献类型：
--
作者：
Keohane, Laura M.;Trivedi, Amal N.;Mor, Vincent
研究医疗补助计划的加入与医疗保险受益人最近的医疗保健使用之间的关系。我们在2008年确定了没有完全医疗补助或使用医院或养老院服务的医疗保险受益人（N = 2,163,387）。一项离散生存分析估计了受益人在2009年1月至2010年6月期间每月进入全面医疗补助计划的可能性。在18个月的研究期间，分别有1.1%和3.7%的受益人加入了医疗补助计划，这些受益人是随着年龄进入医疗保险的，或者是原本因残疾而符合医疗保险资格的。在老年医疗保险受益人中，49%的新医疗补助参与者在研究期间没有使用住院病人、熟练护理机构或养老院服务。最近使用住院、专业护理机构或养老院服务的个人，每月分别有1.9、14.0和38.1名新医疗补助参与者/ 1000名受益人，而最近没有使用这些服务的人，每月有0.4名新医疗补助参与者/ 1000名受益人。虽然最近的医疗保健使用预测更有可能进入医疗补助计划，但一半的新医疗补助参与者在研究期间没有使用医院或养老院护理。在设计和评估干预措施以改革对双重资格受益人的保健服务时，应考虑到这些模式。
To examine the relationship between Medicaid entry and recent health care use among Medicare beneficiaries.We identified Medicare beneficiaries without full Medicaid or use of hospital or nursing home services in 2008 (N = 2,163,387). A discrete survival analysis estimated beneficiaries' monthly likelihood of entry into the full Medicaid program between January 2009 and June 2010.During the 18-month study period, Medicaid entry occurred for 1.1% and 3.7% of beneficiaries who aged into Medicare or originally qualified for Medicare due to disability, respectively. Among beneficiaries who aged into Medicare, 49% of new Medicaid participants had no use of inpatient, skilled nursing facility, or nursing home services during the study period. Individuals who recently used inpatient, skilled nursing facility or nursing home services had monthly rates of 1.9, 14.0, and 38.1 new Medicaid participants per 1,000 beneficiaries, respectively, compared with 0.4 new Medicaid participants per 1,000 beneficiaries with no recent use of these services.Although recent health care use predicted greater likelihood of Medicaid entry, half of new Medicaid participants used no hospital or nursing home care during the study period. These patterns should be considered when designing and evaluating interventions to reform health care delivery for dual-eligible beneficiaries.