ArticleHealth services research2015
Higher Medicare SNF care utilization by dual-eligible beneficiaries: can Medicaid long-term care policies be the answer?
Article in Health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed.
- Skilled Nursing Facility Network Capacity and Hospital Length of Stay.JAMA network open · 2026Article
- Medicare Plan Switching and Hospice Care Among Decedents With Advanced Cancer.JAMA network open · 2026Article
- "You've Got a Lot to Prove": A Mixed Methods Analysis of How Older Adults and Their Families Navigate Medicaid Enrollment.Social policy & administration · 2024Article
- The role of Medicaid home- and community-based services in use of Medicare post-acute care.Health services research · 2024Article
- Higher levels of state funding for Home- and Community-Based Services linked to better state performances in Long-Term Services and Supports.Health services research · 2024Article
- Medicaid home- and community-based services and discharge from skilled nursing facilities.Health services research · 2021Article
- Misclassification of Medicaid Participation by Dual Eligibles: Evidence From the Medicare Current Beneficiary Survey.Medical care research and review : MCRR · 2021Article
- The Quality of Nursing Homes That Serve Patients With Human Immunodeficiency Virus.Journal of the American Geriatrics Society · 2019Article
- Racial Disparities in Health Service Utilization Among Medicare Fee-for-Service Beneficiaries Adjusting for Multiple Chronic Conditions.Journal of aging and health · 2018Article
- Regional variation in racial disparities among patients with peripheral artery disease.Journal of vascular surgery · 2018Article
- The Contribution of Skilled Nursing Facilities to Hospitals' Readmission Rate.Health services research · 2017Article
- Community Discharge of Nursing Home Residents: The Role of Facility Characteristics.Health services research · 2016Article
- Hospital Readmission From Post-Acute Care Facilities: Risk Factors, Timing, and Outcomes.Journal of the American Medical Directors Association · 2016Article
- The effects of state-level expenditures for home- and community-based services on the risk of becoming a long-stay nursing home resident after hip fracture.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016Article
- High-Cost Patients Had Substantial Rates Of Leaving Medicare Advantage And Joining Traditional Medicare.Health affairs (Project Hope) · 2015Article
- Barriers to a Timely Discharge From Short-Term Care in VA Community Living Centers.Journal of aging & social policyArticle
- Assessing the Quality of Nursing Homes in Managed Care Organizations: Integrating LTSS for Dually Eligible Beneficiaries.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveTo examine outcomes associated with dual eligibility (Medicare and Medicaid) of patients who are admitted to skilled nursing facility (SNF) care and whether differences in outcomes are related to states' Medicaid long-term care policies. DATA SOURCES/COLLECTION: We used national Medicare enrollment data and claims, and the Minimum Data Set for 890,922 community-residing Medicare fee-for-service beneficiaries who were discharged to an SNF from a general hospital between July 2008 and June 2009. STUDY
designWe estimated the effect of dual eligibility on the likelihood of 30-day rehospitalization, becoming a long-stay nursing home resident, and 180-day survival while controlling for clinical, demographic, socio-economic, residential neighborhood characteristics, and SNF-fixed effects. We estimated the differences in outcomes by dual eligibility status separately for each state and showed their relationship with state policies: the average Medicaid payment rate; presence of nursing home certificate-of-need (CON) laws; and Medicaid home and community-based services (HCBS) spending. PRINCIPAL
findingsDual-eligible patients are equally likely to experience 30-day rehospitalization, 12 percentage points more likely to become long-stay residents, and 2 percentage points more likely to survive 180 days compared to Medicare-only patients. This longer survival can be attributed to longer nursing home length of stay. While higher HCBS spending reduces the length-of-stay gap without affecting the survival gap, presence of CON laws reduces both the length-of-stay and survival gaps.
conclusionsDual eligibles utilize more SNF care and experience higher survival rates than comparable Medicare-only patients. Higher HCBS spending may reduce the longer SNF length of stay of dual eligibles without increasing mortality and may save money for both Medicare and Medicaid.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.