Impact of state Medicaid coverage on utilization of inpatient rehabilitation facilities among patients with stroke.

ABSTRACT:

Background and purpose

Poststroke rehabilitation is associated with improved outcomes. Medicaid coverage of inpatient rehabilitation facility (IRF) admissions varies by state. We explored the role of state Medicaid IRF coverage on IRF utilization among patients with stroke.

Methods

Working age ischemic stroke patients with Medicaid were identified from the 2010 Nationwide Inpatient Sample. Medicaid coverage of IRFs (yes versus no) was ascertained. Primary outcome was discharge to IRF (versus other discharge destinations). We fit a logistic regression model that included patient demographics, Medicaid coverage, comorbidities, length of stay, tissue-type plasminogen activator use, state Medicaid IRF coverage, and the interaction between patient Medicaid status and state Medica

SUBMITTER: Skolarus LE 

PROVIDER: S-EPMC4116438 | biostudies-literature | 2014 Aug

REPOSITORIES: biostudies-literature