Title | A Longitudinal Analysis of Site of Death: The Effects of Continuous Enrollment in Medicare Advantage Versus Conventional Medicare. |
Publication Type | Journal Article |
Year of Publication | 2017 |
Authors | Chen, EE, Miller, EAlan |
Journal | Res Aging |
Volume | 39 |
Issue | 8 |
Pagination | 960-986 |
Date Published | 2017 09 |
ISSN Number | 1552-7573 |
Keywords | Aged, Aged, 80 and over, Decision making, Fee-for-Service Plans, Female, health policy, Hospices, Hospital Mortality, Humans, Longitudinal Studies, Male, Medicare Part C, Terminal Care, United States |
Abstract | This study assessed the odds of dying in hospital associated with enrollment in Medicare Advantage (M-A) versus conventional Medicare Fee-for-Service (M-FFS). Data were derived from the 2008 and 2010 waves of the Health and Retirement Study ( n = 1,030). The sample consisted of elderly Medicare beneficiaries who died in 2008-2010 (34% died in hospital, and 66% died at home, in long-term senior care, a hospice facility, or other setting). Logistic regression estimated the odds of dying in hospital for those continuously enrolled in M-A from 2008 until death compared to those continuously enrolled in M-FFS and those switching between the two plans. Results indicate that decedents continuously enrolled in M-A had 43% lower odds of dying in hospital compared to those continuously enrolled in M-FFS. Financial incentives in M-A contracts may reduce the odds of dying in hospital. |
URL | http://www.ncbi.nlm.nih.gov/pubmed/27193048 |
DOI | 10.1177/0164027516645843 |
User Guide Notes | |
Alternate Journal | Res Aging |
Citation Key | 8490 |
PubMed ID | 27193048 |