Medicare Advantage enrollment and outcomes of post-acute nursing home care among patients with dementia.
Health Aff Sch
; 2(6): qxae084, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-38934015
ABSTRACT
Enrollment in Medicare Advantage (MA) has been rapidly growing. We examined whether MA enrollment affects the outcomes of post-acute nursing home care among patients with Alzheimer's disease and related dementias (ADRD). We exploited year-to-year changes in MA penetration rates within counties from 2012 through 2019. After adjusting for patient-level characteristics and county fixed effects, we found that MA enrollment was not associated with days spent at home, nursing home days, likelihood of becoming a long-stay resident, hospital days, hospital readmission, or 1-year mortality. There was a modest increase in successful discharge to the community by 0.73 percentage points (relative increase of 2.4%) associated with a 10-percentage-point increase in MA enrollment. The results are consistent among racial/ethnic subgroups and dual-eligible patients. These findings suggest an imperative need to monitor and improve quality of managed care among enrollees with ADRD.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Health Aff Sch
Ano de publicação:
2024
Tipo de documento:
Article