• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Cardiology

Beneficiaries of Medicare Advantage run higher risk of readmission compared with traditional Medicare

byCaitlyn HuiandDeepti Shroff Karhade
June 26, 2019
in Cardiology, Chronic Disease, Public Health, Pulmonology
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. In this retrospective cohort study, the authors observed that Medicare Advantage beneficiaries have a higher risk of readmission compared to traditional Medicare in with regards to congestive heart failure, pneumonia and acute myocardial infarction.

2. There were higher readmission rates for Medicare Advantage beneficiaries compared to traditional Medicare beneficiaries for hospitals in which both Medicare Advantage and traditional beneficiaries were admitted.

Evidence Rating Level: 2 (Good)

Study Rundown: Hospital readmissions are common and incur significant financial costs to Medicare annually. Therefore, reducing readmission rates is a priority for many aspects of the healthcare system in the United States. Typically, readmission rates are calculated with traditional Medicare beneficiaries only, compared to those that are enrolled in the Medicare Advantage program. The authors of this retrospective cohort study therefore contrasted readmission rates between Medicare Advantage and traditional Medicare patients. Medicare Advantage beneficiaries were found to have a higher risk of readmission compared with traditional Medicare patients. Further, it was found that the Healthcare Effectiveness Data and Information Set (HEDIS) underreported admissions of acute myocardial infarction, congestive heart failure and pneumonia. These underreported admissions often had higher readmission rates. This study had several limitations. Of note, the claims data that was utilized did not include detailed measures of illness severity, social determinants of health and other elements. Further, the authors acknowledged that there were some potential unobserved differences between the two study populations.

Click to read the study in Annals of Internal Medicine

Relevant Reading: Medicare Advantage: Issues, Insights, and Implications for the Future

In-Depth [retrospective cohort study]: The authors of this retrospective cohort study compared 30-day readmission rates after hospitalization for both Medicare Advantage and traditional Medicare patients for three major conditions: acute myocardial infarction (AMI), congestive heart failure (CHF) and pneumonia between the years of 2011 to 2014. They utilized the Medicare Provider Analysis and Review files to complete this data analysis. The Neuhaus-Kalbfleisch method was used to calculate the within-hospital effect of Medicare Advantage compared to traditional Medicare. The authors observed that patients in Medicare Advantage had lower unadjusted readmission rates compared to those in traditional Medicare for all 3 conditions (16.6% vs. 17.1% for AMI, 21.4% vs. 21.75% for CHF, and 16.3% vs. 16.4% for pneumonia). When risk readjustment was applied, the readmission rates were found to be higher for patients in Medicare Advantage for each measurement. Further, readmission rates were higher for those enrolled in Medicare Advantage in 1098 of 2138 hospitals (51%) after AMI, 1721 of 3373 hospitals (51%) after CHF and 1920 of 3720 hospitals (52%) after pneumonia.

RELATED REPORTS

Ophthalmologic procedures are not associated with increased risk for acute myocardial infarction

Clinical response to Gram stain-guided antibiotic therapy noninferior to that of guideline-based therapy in patients with ventilator-associated pneumonia

Interatrial shunt device not effective in patients with symptomatic heart failure

Image: PD

©2019 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: acute myocardial infarctioncongestive heart failuremedicareMedicare Advantagepneumoniareadmissions
Previous Post

Adolescent connectedness associated with lower emotional distress and risk behaviors in adulthood

Next Post

#VisualAbstract: Incidence of Herpes Zoster Among Children: 2003–2014

RelatedReports

Nonpowder gun-related pediatric eye injuries on the rise
Cardiology

Ophthalmologic procedures are not associated with increased risk for acute myocardial infarction

April 22, 2022
Prescription of antibiotics for acute respiratory infections increasing
Infectious Disease

Clinical response to Gram stain-guided antibiotic therapy noninferior to that of guideline-based therapy in patients with ventilator-associated pneumonia

April 14, 2022
30-Day mortality decreased in UK pediatric cardiac surgery from 2000-2010
Cardiology

Interatrial shunt device not effective in patients with symptomatic heart failure

March 29, 2022
Of Background Image
Chronic Disease

Melioidosis outbreak is associated with imported aromatherapy spray

March 9, 2022
Next Post
#VisualAbstract: Incidence of Herpes Zoster Among Children: 2003–2014

#VisualAbstract: Incidence of Herpes Zoster Among Children: 2003–2014

Meeting families, demographic information affect child abuse work-up

Social robots increase joy, decrease sadness in hospitalized pediatric patients

Poor olfaction linked to increased mortality in older adults

Quick Take: Suicide in older adults living in or transitioning to residential long-term care, 2003 to 2015

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

Get 2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • #VisualAbstract: Severe actinic keratosis and need for additional treatment are markers for an increased risk of cutaneous squamous cell carcinoma
  • Virtual yoga and meditation intervention may be associated with increased health-related quality of life
  • Wellness Check: Mental Health
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.