Why the study?
Does Medicare HMO enrollment compared to FFS affect discharge destinations and survival rates in stroke patients?
Population
810 Medicare beneficiaries who experienced a stroke across 12 states.
Comparison
Medicare Health Maintenance Organization… vs Medicare Fee-for-Service (FFS) enrollment
Design
Cohort
Follow-up
25 to 37 months (median 30.4 months HMO, 31.1 months FFS)
Authors
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HMO enrollment was associated with shifted post-stroke discharge destinations without survival difference; leaves open whether patterns reflect care quality or access.
Does Medicare HMO enrollment compared to FFS affect discharge destinations and survival rates in stroke patients?
Medicare HMO patients with stroke are more likely to be discharged to nursing homes rather than rehabilitation facilities compared to FFS patients, though long-term survival remains similar.
Sheldon M. Retchin (1997) studied this question.
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