The impact of Dual Eligible Special Need Plan regulations on healthcare utilization.

ABSTRACT:

Background

To determine if requiring Dual Eligible Special Need Plans (D-SNPs) to receive approval from the National Committee of Quality Assurance and contract with state Medicaid agencies impacts healthcare utilization.

Methods

We use a Multiple Interrupted Time Series to examine the association of D-SNP regulations with dichotomized measures of emergency room (ER) and hospital utilization. Our treatment group is elderly D-SNP enrollees. Our comparison group is near-elderly (ages 60-64) beneficiaries enrolled in Medicaid Managed Care plans (N = 360,405). We use segmented regression models to estimate changes in the time-trend and slope of the outcomes associated with D-SNP regulations, during the post-implementation (2012-2015) period, relative to the pre-implementation (2

SUBMITTER: Narain KDC 

PROVIDER: S-EPMC7938466 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature