Association of Psychiatric Diagnoses and Medicaid Coverage with Length of Stay Among Inpatients Discharged to Skilled Nursing Facilities.

ABSTRACT:

Background

Inpatients with psychiatric diagnoses often require higher levels of care in skilled nursing facilities (SNFs) and are more likely to be covered by Medicaid, which reimburses SNFs at significantly lower rates than Medicare and commercial payors.

Objective

To characterize factors affecting length of stay in inpatients discharged to SNFs.

Design

A retrospective cross-sectional study design using 2016-2018 data from National Inpatient Sample.

Participants

Inpatients aged ≥ 40 who were discharged to SNFs.

Exposures

Primary discharge diagnosis (medical, psychiatric, or substance use) and primary payor.

Main outcomes and measures

Length of stay, categorized non-exclusively as >3 days, >7 days, or > 14 days.

Results

Among 9,821,155 inpa

SUBMITTER: Bartlett VL 

PROVIDER: S-EPMC9485316 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature