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STATE VARIABILITY IN HEALTHCARE UTILIZATION AMONG ASSISTED LIVING RESIDENTS WITH DEMENTIA
The objectives of this study are to describe the state variability in the prevalence of ADRD among AL residents and in this group’s healthcare utilization. Using 2014 Medicare enrollment data, Medicare claims, and the Minimum Data Set for a sample of 493,867 Medicare fee-for-service beneficiaries in...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6841230/ http://dx.doi.org/10.1093/geroni/igz038.2009 |
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author | Thomas, Kali S Cornell, Portia Zhang, Wenhan Rahman, Momotazur Dosa, David Kaskie, Brian Carder, Paula |
author_facet | Thomas, Kali S Cornell, Portia Zhang, Wenhan Rahman, Momotazur Dosa, David Kaskie, Brian Carder, Paula |
author_sort | Thomas, Kali S |
collection | PubMed |
description | The objectives of this study are to describe the state variability in the prevalence of ADRD among AL residents and in this group’s healthcare utilization. Using 2014 Medicare enrollment data, Medicare claims, and the Minimum Data Set for a sample of 493,867 Medicare fee-for-service beneficiaries in AL (178,787 with ADRD), we present their rates of hospital and emergency department (ED) use, by state, adjusting for age, sex, race, and dual-eligibility status. States varied in their unadjusted percent of residents with ADRD from 25% in MN to 48% in WV. In 2014, 40% of AL residents with an ADRD diagnosis were hospitalized during the year, ranging from 30% in UT to 47% in FL. Forty-two percent of residents with ADRD used an ED in 2014, ranging from 36% in MD to 56% in NC. The potential influence of state regulations, enforcement, and market factors will be discussed. |
format | Online Article Text |
id | pubmed-6841230 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-68412302019-11-13 STATE VARIABILITY IN HEALTHCARE UTILIZATION AMONG ASSISTED LIVING RESIDENTS WITH DEMENTIA Thomas, Kali S Cornell, Portia Zhang, Wenhan Rahman, Momotazur Dosa, David Kaskie, Brian Carder, Paula Innov Aging Session 2470 (Symposium) The objectives of this study are to describe the state variability in the prevalence of ADRD among AL residents and in this group’s healthcare utilization. Using 2014 Medicare enrollment data, Medicare claims, and the Minimum Data Set for a sample of 493,867 Medicare fee-for-service beneficiaries in AL (178,787 with ADRD), we present their rates of hospital and emergency department (ED) use, by state, adjusting for age, sex, race, and dual-eligibility status. States varied in their unadjusted percent of residents with ADRD from 25% in MN to 48% in WV. In 2014, 40% of AL residents with an ADRD diagnosis were hospitalized during the year, ranging from 30% in UT to 47% in FL. Forty-two percent of residents with ADRD used an ED in 2014, ranging from 36% in MD to 56% in NC. The potential influence of state regulations, enforcement, and market factors will be discussed. Oxford University Press 2019-11-08 /pmc/articles/PMC6841230/ http://dx.doi.org/10.1093/geroni/igz038.2009 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Session 2470 (Symposium) Thomas, Kali S Cornell, Portia Zhang, Wenhan Rahman, Momotazur Dosa, David Kaskie, Brian Carder, Paula STATE VARIABILITY IN HEALTHCARE UTILIZATION AMONG ASSISTED LIVING RESIDENTS WITH DEMENTIA |
title | STATE VARIABILITY IN HEALTHCARE UTILIZATION AMONG ASSISTED LIVING RESIDENTS WITH DEMENTIA |
title_full | STATE VARIABILITY IN HEALTHCARE UTILIZATION AMONG ASSISTED LIVING RESIDENTS WITH DEMENTIA |
title_fullStr | STATE VARIABILITY IN HEALTHCARE UTILIZATION AMONG ASSISTED LIVING RESIDENTS WITH DEMENTIA |
title_full_unstemmed | STATE VARIABILITY IN HEALTHCARE UTILIZATION AMONG ASSISTED LIVING RESIDENTS WITH DEMENTIA |
title_short | STATE VARIABILITY IN HEALTHCARE UTILIZATION AMONG ASSISTED LIVING RESIDENTS WITH DEMENTIA |
title_sort | state variability in healthcare utilization among assisted living residents with dementia |
topic | Session 2470 (Symposium) |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6841230/ http://dx.doi.org/10.1093/geroni/igz038.2009 |
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