A length of stay study of the dually entitled Medicare and Medicaid population: challenges for managed competition.
Length of stay (LOS) differences were not observed between the dually entitled and other Medicare stroke patients when complexity of disease was considered. LOS for dually entitled heart failure patients was 33.2 percent longer than other Medicare heart failures and were equally likely to be in the extreme DRG subclass. Patients with extreme heart failure stayed 15.5 days longer than those with mild heart failure. LOS differences (+4.5 days) were observed between the dually entitled and other Medicare heart failures when complexity of disease was considered. Within these two DRGs, incremental health care needs for dually entitled equalled 10 percent of the hospital's total Medicare days associated with stroke and heart failure.
Columbia-Presbyterian Medical Center.
R R
RR
Arons
B J
BJ
Milo
R
R
Yee
D L
DL
Ginsberg
J S
JS
Lieberman
D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D002561:Cerebrovascular Disorders / Q000191:economics*; D003625:Data Collection; D003953:Diagnosis-Related Groups / Q000191:economics / Q000706:statistics & numerical data; D005260:Female; D006333:Heart Failure / Q000191:economics*; D006764:Hospitals, Community / Q000706:statistics & numerical data; D006784:Hospitals, Teaching / Q000706:statistics & numerical data; D006786:Hospitals, Urban / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008329:Managed Care Programs / Q000191:economics* / Q000706:statistics & numerical data; D008484:Medicaid / Q000706:statistics & numerical data*; D006278:Medicare / Q000706:statistics & numerical data*; D015999:Multivariate Analysis; D009519:New York City; D014481:United States