ArticleMedical care research and review : MCRR2019
Increasing Trends in the Use of Hospital Observation Services for Older Medicare Advantage and Privately Insured Patients.
Article in Medical care research and review : MCRR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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The trial behind it
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Who cites it
13 citing papers in PubMed.
- A data-driven digital twin of emergency department flow to quantify congestion dynamics and test operational resilience.Internal and emergency medicine · 2026Article
- Association of Observation Stays with Clinical Outcomes and Costs in Medicare: An Instrumental Variable Analysis.Journal of general internal medicine · 2025Article
- Medicare Advantage penetration and the financial distress of rural hospitals.Health economics review · 2025Article
- Transforming appeal decisions: machine learning triage for hospital admission denials.JAMIA open · 2025Article
- Hospital ownership and admission rates from the emergency department, evidence from Florida.Health services research · 2024Article
- Medicare's hospital readmissions reduction program and the rise in observation stays.Health services research · 2023Article
- Improving healthcare value: Addressing the confusing costs of observation hospitalizations.Journal of hospital medicine · 2022Article
- Evaluation of an intervention targeted with predictive analytics to prevent readmissions in an integrated health system: observational study.BMJ (Clinical research ed.) · 2021Observational
- Comparison of Back-Propagation Neural Network, LACE Index and HOSPITAL Score in Predicting All-Cause Risk of 30-Day Readmission.Risk management and healthcare policy · 2021Article
- Establishing an Orthopedic Excess Hospital Days in Acute Care Program.Journal of hospital medicine · 2020Article
- Multiyear Rehospitalization Rates and Hospital Outcomes in an Integrated Health Care System.JAMA network open · 2019Article
- Hospital Readmission Rates in Medicare Advantage and Traditional Medicare: A Retrospective Population-Based Analysis.Annals of internal medicine · 2019Article
- Association of Frailty and Postoperative Complications With Unplanned Readmissions After Elective Outpatient Surgery.JAMA network open · 2019Observational
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Policy and financial pressures have driven up use of observation stays for patients in traditional Medicare and the Veterans' Affairs Healthcare System. Using claims data (2004-2014) from OptumLabs™ Data Warehouse, we examined whether people in private Medicare Advantage (MA) and commercial plans experienced similar changes. We found that use of observation increased rapidly for patients in MA plans-even though MA plans were not subject to the same pressures as government-run programs. In contrast, use of observation remained constant for people in commercial plans-except for enrollees 65 and older, for whom it increased somewhat. Privately insured patients returning to the hospital after an inpatient stay were increasingly likely to be placed under observation. Our results suggest that observation is rapidly replacing inpatient admissions and readmissions for many older patients in MA and commercial plans, while younger patients continue to be admitted as inpatients at relatively constant rates.
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