The Role of Medicare's Inpatient Cost-Sharing in Medicaid Entry.

ABSTRACT:

Objective

To isolate the effect of greater inpatient cost-sharing on Medicaid entry among Medicare beneficiaries.

Data sources

Medicare administrative data (years 2007-2010) were linked to nursing home assessments and area-level socioeconomic indicators.

Study design

Medicare beneficiaries who are readmitted to a hospital must pay an additional deductible ($1,100 in 2010) if their readmission occurs more than 59 days following discharge. In a regression discontinuity analysis, we take advantage of this Medicare benefit feature to test whether beneficiaries with greater cost-sharing have higher rates of Medicaid enrollment.

Data extraction methods

We identified 221,248 Medicare beneficiaries with an initial hospital stay and a readmission 53-59 days later (no de

SUBMITTER: Keohane LM 

PROVIDER: S-EPMC5867186 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature