Format

Send to

Choose Destination
J Rural Health. 2016 Spring;32(2):188-95. doi: 10.1111/jrh.12140. Epub 2015 Aug 24.

Thirty-Day Readmission Rates Among Dual-Eligible Beneficiaries.

Author information

1
South Carolina Rural Health Research Center, University of South Carolina, Columbia, South Carolina.
2
Department of Family and Preventive Medicine, School of Medicine, University of South Carolina, Columbia, South Carolina.
3
Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.

Abstract

PURPOSE:

Dual-eligible beneficiaries represented 19% of Medicare and 14% of Medicaid enrollment in 2009. Of Medicare discharges among dually eligible beneficiaries, 21.5% resulted in a 30-day rehospitalization. Little has been published regarding dual-eligible beneficiaries' readmission rates and factors affecting readmission.

METHODS:

We conducted a cross-sectional analysis of Medicare claims, restricted to 297,084 beneficiaries with a hospitalization from February 1, 2009, through November 30, 2009.

FINDINGS:

Dual eligibles had higher hospitalization and 30-day readmission rates than Medicare-only beneficiaries. Multivariable regression indicated dual eligibility, younger age, and specific chronic conditions increased the likelihood of a 30-day readmission. Rural dually eligible beneficiaries had lower readmission rates than other beneficiaries, and they had a protective effect of physician follow-up care.

CONCLUSIONS:

Having a 30-day physician follow-up had differential effects in urban versus rural locations, yet rural residents had a higher rate of follow-up care. The impact of adequate follow-up care, and how rural populations are successful, would be beneficial to understand. Substantial savings could accrue if interventions reduced readmissions among dual-eligible beneficiaries.

KEYWORDS:

Medicaid; Medicare; hospitals; readmissions; utilization of health services

PMID:
26301454
DOI:
10.1111/jrh.12140
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center