Association of Dual Eligibility and Medicare Type With Quality of Postacute Care After Stroke.

ABSTRACT:

Importance

The growth of Medicare Advantage (MA) enrollment has reshaped postacute care utilization, particularly among dual-eligible beneficiaries who experience a disproportionate burden of stroke. Recent evidence shows that MA plans are proactive in managing care and directing enrollees toward narrower networks of postacute facilities for greater efficiency.

Objective

To compare the likelihood of discharge to high-quality inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and home health (HH) care after stroke-related acute hospitalization among dual-eligible Medicare-Medicaid beneficiaries enrolled in MA vs Medicare fee-for-service (FFS) plans.

Design, setting, and participants

This retrospective cohort study used a 20% random sample of

SUBMITTER: Karmarkar AM 

PROVIDER: S-EPMC12933277 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature