A Longitudinal Analysis of Site of Death: The Effects of Continuous Enrollment in Medicare Advantage Versus Conventional Medicare.

TitleA Longitudinal Analysis of Site of Death: The Effects of Continuous Enrollment in Medicare Advantage Versus Conventional Medicare.
Publication TypeJournal Article
Year of Publication2017
AuthorsChen, EE, Miller, EAlan
JournalResearch on Aging
Volume39
Issue8
Pagination960-986
Date Published09/2017
ISSN Number1552-7573
KeywordsDeath & Dying, Hospice, Hospitalization, Medicare/Medicaid/Health Insurance
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.

URLhttp://www.ncbi.nlm.nih.gov/pubmed/27193048
DOI10.1177/0164027516645843
Alternate JournalRes Aging
Citation Key8490
PubMed ID27193048