Community Discharge After Skilled Nursing Facilities
Author Information
Author(s): Rivera-Hernandez Maricruz, Chou Lin-Na, Kumar Amit
Primary Institution: Brown University School of Public Health
Hypothesis
This study aims to assess differences in rates of successful community discharge among Medicare Advantage and fee-for-service enrollees by race/ethnicity.
Conclusion
Medicare Advantage beneficiaries have higher rates of successful community discharge compared to fee-for-service beneficiaries, especially among Black and Hispanic enrollees.
Supporting Evidence
- Approximately 34.48% of beneficiaries were enrolled in a Medicare Advantage plan at admission.
- A higher proportion of Medicare Advantage beneficiaries were discharged to the community compared to fee-for-service beneficiaries (53.64% vs. 42.70%).
- 54.50% of Hispanic Medicare Advantage beneficiaries were discharged to the community compared to 47.51% of Black beneficiaries.
- 45.85% of white fee-for-service beneficiaries were discharged to the community compared to 38.71% of Hispanic and 34.60% of Black fee-for-service beneficiaries.
Takeaway
This study found that more people on Medicare Advantage plans were able to go home after staying in a nursing facility compared to those on traditional Medicare, especially among Black and Hispanic individuals.
Methodology
The study linked various Medicare data sources to assess community discharge rates among enrollees.
Participant Demographics
The study included Medicare enrollees admitted to skilled nursing facilities in 2020, with a focus on race/ethnicity.
Statistical Information
P-Value
4.87
Confidence Interval
95% CI, 4.72 to 5.02
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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