The Effects of Medicare Advantage Contract Concentration on Patients' Nursing Home Outcomes.

ABSTRACT:

Objective

The Medicare Modernization Act of 2004 allowed Medicare Advantage (MA) contracts to form provider networks in order to concentrate their patients among preferred providers. We focus on the skilled nursing facility (SNF) industry to assess patients' health when treating SNFs concentrate more patients from the same MA contract.

Data sources/study setting

We use Medicare Beneficiary Summary File and Health, HEDIS, and the Minimum Data Set for patient attributes and OSCAR, LTCfocus.org, and Nursing Home Compare for SNF attributes. We include 1,069,436 MA enrollees newly admitted to SNF between 2012 and 2014.

Study design

Using a MA contract fixed-effect model, we examine the effect of prevalence of a patient's MA contract in the treating SNF on patient's health

SUBMITTER: Rahman M 

PROVIDER: S-EPMC6232395 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature