Association of Medicaid Eligibility With Surgical Readmission Among Medicare Beneficiaries.

ABSTRACT:

Importance

The Centers for Medicare & Medicaid Services is beginning to consider adjusting for social risk factors, such as dual eligibility for Medicare and Medicaid, when evaluating hospital performance under value-based purchasing programs. It is unknown whether dual eligibility represents a unique domain of social risk or instead represents clinical risk unmeasured by variables available in traditional Medicare claims.

Objective

To assess how dual eligibility for Medicare and Medicaid is associated with risk-adjusted readmission rates after surgery.

Design, setting, and participants

A retrospective cohort study was conducted of 55 651 Medicare beneficiaries undergoing general, vascular, and gynecologic surgery at 62 hospitals in Michigan between January 1, 2014, a

SUBMITTER: Cher BAY 

PROVIDER: S-EPMC7287571 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature