Preventable Hospitalizations in Connecticut Medicaid Services
Author Information
Author(s): Dillon Ellis, Fortinsky Richard, Barry Lisa, Lee Chae Man, Porter Martha, Migneault Deborah, Robison Julie
Primary Institution: University of Connecticut
Hypothesis
This study determines rates of potentially preventable hospitalizations for Connecticut residents receiving Medicaid-funded home and community-based services.
Conclusion
The study found significant variations in potentially preventable hospitalization rates across different home and community-based services programs in Connecticut.
Supporting Evidence
- PPH rates ranged from 0.8% to 15.7% across different HCBS programs.
- Individuals with PPHs represented over half of all hospitalized individuals.
- PCA participants were more likely to have a PPH compared to Elder Waiver recipients.
- Likelihood of experiencing a PPH increased with each successive Hosp-RiskHC score.
Takeaway
The study looked at how many people in Connecticut's Medicaid programs ended up in the hospital when they shouldn't have, and found that some programs had more problems than others.
Methodology
This was a retrospective cohort analysis linking Medicaid and Medicare claims data with clinical assessments.
Limitations
The study may not account for all individual and structural factors affecting hospitalization rates.
Participant Demographics
Participants were Connecticut residents receiving Medicaid-funded home and community-based services.
Statistical Information
Confidence Interval
95% CI:1.13-1.58 for PCA, 95% CI:0.48-0.93 for Acquired Brain Injury Waiver.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website