The Relative Importance of Post-Acute Care and Readmissions for Post-Discharge Spending.

ABSTRACT:

Objective

To understand what patterns of health care use are associated with higher post-hospitalization spending.

Data sources

Medicare hospital, skilled nursing, inpatient rehabilitation, and home health agency claims, and Medicare enrollment data from 2007 and 2008.

Study design

For 10 common inpatient conditions, we calculated variation across hospitals in price-standardized and case mix-adjusted Medicare spending in the 30 days following hospital discharge. We estimated the fraction of spending differences between low- and high-spending hospitals attributable to readmissions versus post-acute care, and within post-acute care between inpatient rehabilitation facility (IRF) versus skilled nursing facility (SNF) use. For each service, we distinguished between differ

SUBMITTER: Huckfeldt PJ 

PROVIDER: S-EPMC5034203 | biostudies-literature | 2016 Oct

REPOSITORIES: biostudies-literature