Search results for "medicare"
BMA discharge of Medicare patients with OUD associated with high readmission, mortality rates
The probability of readmission after discharge before medically advised (BMA) was 7.1 percentage points higher than after standard home discharges and 6.0 to 8.9 percentage points higher than after nursing facility discharges, according to a study of Medicare beneficiaries with opioid use disorder (OUD).
https://acphospitalist.acponline.org/archives/2025/02/05/bma-discharge-of-medicare-patients-with-oud-associated-with-high-readmission-mortality-rates.htm
5 Feb 2025
Many Medicare beneficiaries unable to afford out-of-pocket cost of single hospital stay
Between 34% and 50% of Medicare beneficiaries with incomes that are low, but above Medicaid eligibility, would be unable to cover the $1,600 out-of-pocket cost associated with a hospital stay, research shows.
https://acphospitalist.acponline.org/archives/2024/10/30/many-medicare-beneficiaries-unable-to-afford-out-of-pocket-cost-of-single-hospital-stay.htm
30 Oct 2024
ED volume not the cause of recent hospital capacity issues, study of Medicare data finds
ED visits by fee-for-service Medicare beneficiaries remained below 2019 levels in 2022, but length of stay for associated admissions was longer and discharges to postacute care were less common, according to an analysis of pre- to postpandemic hospital occupancy.
https://acphospitalist.acponline.org/archives/2024/07/10/ed-volume-not-the-cause-of-recent-hospital-capacity-issues-study-of-medicare-data-finds.htm
10 Jul 2024
HF hospitalization linked with heightened kidney risk, a study of Medicare patients finds
In a cohort of 85,298 patients ages 65 years or older who were hospitalized for heart failure (HF), 6% progressed to dialysis within one year of admission, 7% had progressed to dialysis or end-stage kidney disease, and 7% had been readmitted due to an acute kidney injury.
https://acphospitalist.acponline.org/archives/2024/06/05/hf-hospitalization-linked-with-heightened-kidney-risk-a-study-of-medicare-patients-finds.htm
5 Jun 2024
Study of Medicare claims finds good outcomes with hospital at home
Only 6.2% of Medicare fee-for-service patients who were hospitalized at home had to be escalated to another setting and 0.5% died during the admission, according to an analysis of 2022 to 2023 claims data. Their 30-day readmission rate was 15.6%.
https://acphospitalist.acponline.org/archives/2024/01/10/study-of-medicare-claims-finds-good-outcomes-with-hospital-at-home.htm
10 Jan 2024
Hospitals with higher proportion of Black patients hit with value-based Medicare penalties
Mortality rates for myocardial infarction and pneumonia were consistently higher at hospitals that treated a high proportion of Black patients, and that didn't change after implementation of Medicare's value-based payment program, a 10-year study found.
https://acphospitalist.acponline.org/archives/2024/01/10/hospitals-with-higher-proportion-of-black-patients-hit-with-value-based-medicare-penalties.htm
10 Jan 2024
Private equity takeovers linked with more in-hospital adverse events in Medicare patients
Rates of falls and central-line bloodstream infections increased in hospitals after they were acquired by private equity firms, despite these hospitals having a younger, higher-income patient cohort.
https://acphospitalist.acponline.org/archives/2024/01/03/private-equity-takeovers-linked-with-more-in-hospital-adverse-events-in-medicare-patients.htm
3 Jan 2024
ED visits after discharge to SNF cost Medicare $24 million in 2019
Sixteen percent of Medicare patients who were discharged to a skilled nursing facility (SNF) came back to the ED within two weeks, and a quarter of those visits resulted in discharge back to the SNF the same day.
https://acphospitalist.acponline.org/archives/2023/11/01/ed-visits-after-discharge-to-snf-cost-medicare-24-million-in-2019.htm
1 Nov 2023
Hospital rankings change when Medicare Advantage patients included
When researchers included both Medicare fee-for-service and Medicare Advantage beneficiaries in calculations of CMS performance measures, between 21.6% and 30.2% of hospitals in the top-performing group for readmissions and mortality fell to a lower-performing group.
https://acphospitalist.acponline.org/archives/2023/03/29/hospital-rankings-change-when-medicare-advantage-patients-included.htm
29 Mar 2023
Nearly 1 in 7 community-living Medicare patients died within year after major surgery
Mortality rates after major surgery were 28% among patients who were frail and 33% among those with dementia, a prospective longitudinal cohort study of Medicare fee-for-service beneficiaries found.
https://acphospitalist.acponline.org/archives/2022/10/26/nearly-1-in-7-community-living-medicare-patients-died-within-year-after-major-surgery.htm
26 Oct 2022
Rapid response teams didn't change hospital mortality among Medicare patients, study finds
An analysis of 56 hospitals from Get With the Guidelines-Resuscitation found that implementation of a rapid response team was associated with no change in inpatient mortality trends at 50 of the hospitals and higher-than-expected mortality at two.
https://acphospitalist.acponline.org/archives/2022/09/14/rapid-respons-teams-didnt-change-hospital-mortality-among-medicare-patients.htm
14 Sep 2022
One-quarter of hospitalized Medicare patients experienced harm, government report finds
A new report from the HHS Office of Inspector General found that 25% of Medicare patients experienced adverse events or temporary harm events during their hospital stays in October 2018, and 43% of these were deemed preventable.
https://acphospitalist.acponline.org/archives/2022/05/18/free/one-quarter-of-hospitalized-medicare-patients-experienced-harm.htm
18 May 2022
Study finds wide variation in ED physicians' hospital admission rates for Medicare patients
The results suggest that physician decision making in the ED substantially contributes to whether a patient is admitted and may be a target for interventions to reduce unnecessary admissions, the authors said.
https://acphospitalist.acponline.org/weekly/archives/2021/02/10/4.htm
10 Feb 2021
Mortality after ED visits declined among Medicare beneficiaries from 2009 to 2016
Rates of 30-day mortality after an ED visit declined among patients admitted to the hospital and those discharged from the ED, and declines were greater for patients seen at teaching, nonprofit, or urban hospitals.
https://acphospitalist.acponline.org/weekly/archives/2019/11/13/1.htm
13 Nov 2019
Most Medicare readmissions were for diagnoses different from index hospitalization
Physicians should consider a holistic approach to planning postdischarge care while being mindful of patients' financial and logistical limitations, the study authors suggested.
https://acphospitalist.acponline.org/weekly/archives/2019/07/03/3.htm
3 Jul 2019
Readmissions higher with Medicare Advantage than traditional Medicare, study suggests
Many admissions of Medicare Advantage beneficiaries for acute myocardial infarction, congestive heart failure, or pneumonia were missing from the Healthcare Effectiveness Data and Information Set, and their absence appeared to affect readmission rate measurement.
https://acphospitalist.acponline.org/weekly/archives/2019/06/26/4.htm
26 Jun 2019
Costs of care among Medicare patients were similar at teaching vs. nonteaching hospitals
The cost of a hospitalization was higher at a major teaching hospital than a nonteaching hospital, but physician costs and 30-day postacute care costs were lower, according to an analysis of common medical and surgical conditions among Medicare patients.
https://acphospitalist.acponline.org/weekly/archives/2019/06/12/1.htm
12 Jun 2019
Care coordination bundle reduced total cost of care for Medicare and Medicaid patients
The intervention was also associated with decreases in the ED visit rate among Medicaid patients and a reduction in practitioner follow-up visits for both patient groups.
https://acphospitalist.acponline.org/weekly/archives/2018/11/07/3.htm
7 Nov 2018
Medicare bundled payments may not be effective for medical conditions
Costs for the five most common medical conditions in Medicare's Bundled Payments for Care Improvement initiative decreased similarly in hospitals that did or did not participate. Mortality and readmission rates were also similar.
https://acphospitalist.acponline.org/weekly/archives/2018/07/25/1.htm
25 Jul 2018
Fewer Medicare beneficiaries dying in the hospital, but ICU use at end of life still common
The retrospective cohort study included a 20% random sample of Medicare fee-for-service beneficiaries who died in 2000, 2005, 2009, 2011, or 2015.
https://acphospitalist.acponline.org/weekly/archives/2018/07/04/1.htm
4 Jul 2018