The Medicare Shared Savings Program and Outcomes for Ischemic Stroke Patients: a Retrospective Cohort Study.

ABSTRACT:

Background

Post-stroke care delivery may be affected by provider participation in Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs) through systematic changes to discharge planning, care coordination, and transitional care.

Objective

To evaluate the association of MSSP with patient outcomes in the year following hospitalization for ischemic stroke.

Design

Retrospective cohort SETTING: Get With The Guidelines (GWTG)-Stroke (2010-2014) PARTICIPANTS: Hospitalizations for mild to moderate incident ischemic stroke were linked with Medicare claims for fee-for-service beneficiaries ≥ 65 years (N = 251,605).

Main measures

Outcomes included discharge to home, 30-day all-cause readmission, length of index hospital stay, days in the community (h

SUBMITTER: Kaufman BG 

PROVIDER: S-EPMC6854149 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature