Assessing multiple hospitalizations for health-plan-managed Medicaid diabetic members.
This study is a retrospective analysis of medical claims of individuals with diabetes enrolled in managed Medicaid as well as a diabetes management program. The sample consists of 695 individuals who had at least two hospitalizations in one calendar year. This study had two related aims. The first was to examine factors associated with an increased risk of repeat hospitalizations. The second was to determine an appropriate alternative to rehospitalization. Using negative binominal regression, we find that members most likely to be rehospitalized have congestive heart failure or psychosis. We suggest that rehospitalizations in this population may be mitigated by providing home healthcare.
Cramer
Samuel
S
Indiana University School of Medicine, USA.
Chapa
Griselda
G
Kotsos
Thomas
T
Jenich
Herman
H
D000293:Adolescent; D000328:Adult; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000191:economics / Q000628:therapy*; D005260:Female; D006333:Heart Failure / Q000628:therapy; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007345:Insurance Claim Review; D008297:Male; D008329:Managed Care Programs / Q000706:statistics & numerical data; D008484:Medicaid / Q000706:statistics & numerical data*; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D011618:Psychotic Disorders / Q000628:therapy; D012189:Retrospective Studies; D014481:United States; D055815:Young Adult