Medicaid Bed-Hold Policies and Hospitalization of Long-Stay Nursing Home Residents
Article first published online: 23 MAR 2013
© Health Research and Educational Trust
Health Services Research
Volume 48, Issue 5, pages 1617–1633, October 2013
How to Cite
Unruh, M. A., Grabowski, D. C., Trivedi, A. N. and Mor, V. (2013), Medicaid Bed-Hold Policies and Hospitalization of Long-Stay Nursing Home Residents. Health Services Research, 48: 1617–1633. doi: 10.1111/1475-6773.12054
- Issue published online: 16 SEP 2013
- Article first published online: 23 MAR 2013
- National Institute on Aging. Grant Number: 1P01AG027296
- Changes in Health Care Financing and Organization. Grant Number: 64435
- bed-hold policies;
To evaluate the effect of Medicaid bed-hold policies on hospitalization of long-stay nursing home residents.
A nationwide random sample of long-stay nursing home residents with data elements from Medicare claims and enrollment files, the Minimum Data Set, the Online Survey Certification and Reporting System, and Area Resource File. The sample consisted of 22,200,089 person-quarters from 754,592 individuals who became long-stay residents in 17,149 nursing homes over the period beginning January 1, 2000 through December 31, 2005.
Linear regression models using a pre/post design adjusted for resident, nursing home, market, and state characteristics. Nursing home and year-quarter fixed effects were included to control for time-invariant facility influences and temporal trends associated with hospitalization of long-stay residents.
Adoption of a Medicaid bed-hold policy was associated with an absolute increase of 0.493 percentage points (95% CI: 0.039–0.946) in hospitalizations of long-stay nursing home residents, representing a 3.883 percent relative increase over the baseline mean.
Medicaid bed-hold policies may increase the likelihood of hospitalization of long-stay nursing home residents and increase costs for the federal Medicare program.