O'Leary June E, Sloss Elizabeth M, Melnick Glenn
School of Policy, Planning, and Development, University of Southern California, USA.
Health Care Financ Rev. 2007 Summer;28(4):57-67.
This highlight describes the characteristics and inpatient utilization of under age 65 disabled California Medicare beneficiaries by dual eligible status (i.e., Medicaid State buy-in coverage or not). More disabled dually eligible beneficiaries are younger, non-White, and in fee-for-service (FFS) than non-dually eligible beneficiaries. Disabled dually eligible beneficiaries experienced consistently higher hospitalization rates and average length of stay (LOS) than nondually eligible beneficiaries from 1996 to 2001. Inpatient days remain higher among dually eligible beneficiaries when stratified by the system of care, age, sex, or race. In addition, the hospitalization rate of disabled dually eligible beneficiaries was higher for most diagnoses, but how much higher varied by condition.
本重点内容描述了65岁以下残疾加利福尼亚医疗保险受益人的特征及住院情况,按双重资格状态(即是否享有医疗补助州购买保险)进行划分。与非双重资格受益人相比,更多残疾双重资格受益人年龄更小、非白人且参加按服务收费(FFS)医保。1996年至2001年期间,残疾双重资格受益人住院率和平均住院时间(LOS)始终高于非双重资格受益人。按医疗体系、年龄、性别或种族分层时,双重资格受益人的住院天数仍然更高。此外,大多数诊断情况下,残疾双重资格受益人的住院率更高,但高出的幅度因病情而异。