Hospice effect on government expenditures among nursing home residents.

ABSTRACT:

Objective

To examine the effect of the Medicare hospice benefit on Medicare and Medicaid expenditures by dual-eligible Medicare-Medicaid nursing home (NH) residents.

Data sources/study setting

Secondary data for NH residents for 1998-1999.

Study design

Retrospective cohort study of NH residents in the state of Florida who died between July and December 1999 (N=5,774). Medicare claims identified hospice enrollment, and Medicare and Medicaid claims identified expenditures by categories of care. Nursing home resident assessments were used to control for case-mix differences. Geocoding of nursing homes, hospice providers and hospitals was used to identify and characterize local health care markets.

Data collection/extraction methods

A file was constructed linking M

SUBMITTER: Gozalo PL 

PROVIDER: S-EPMC2323143 | biostudies-literature | 2008 Feb

REPOSITORIES: biostudies-literature