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June 10, 2020JAMA Network OpenOpen Access

Association of Medicaid Eligibility With Surgical Readmission Among Medicare Beneficiaries

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Why the study?

It was unknown whether dual eligibility for Medicare and Medicaid represents a unique domain of social risk or unmeasured clinical risk when adjusting surgical readmission rates.

Does dual eligibility for Medicare and Medicaid increase risk-adjusted all-cause 30-day readmission after surgery in Medicare beneficiaries?

Population

55 651 Medicare beneficiaries undergoing general, vascular, and gynecologic surgery at 62 hospitals in Michigan

Comparison

Dual eligibility for Medicare and Medicaid vs Medicare-only eligibility

Design

Retrospective cohort study

Follow-up

30 days

Authors

BCBenjamin A. Y. CherARAndrew M. RyanGHGeoffrey J. Hoffman

Discussion

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Member takes

Overview

Dual eligibility may proxy unmeasured clinical risk in claims; leaves open whether social risk adjustment adds unique value beyond clinical variables.

Structured PICO

Does dual eligibility for Medicare and Medicaid increase risk-adjusted all-cause 30-day readmission after surgery in Medicare beneficiaries?

P
Population
55,651 Medicare beneficiaries undergoing general, vascular, and gynecologic surgery at 62 hospitals in Michigan. Two cohorts: traditional Medicare claims (n=29,710) and Michigan Surgical Quality Collaborative (MSQC) clinical registry (n=25,941).
I
Intervention
Dual eligibility for Medicare and Medicaid
C
Comparator
Medicare-only beneficiaries (not dual-eligible)
O
Outcome
Risk-adjusted all-cause 30-day readmission after surgery

Dual eligibility for Medicare and Medicaid is associated with higher surgical readmission rates in claims data, but this difference disappears when adjusting for granular clinical risk factors, suggesting it acts as a proxy for unmeasured clinical risk.

Cite This Study

Cher et al. (2020) studied this question.

synapsesocial.com/papers/6a8aa776a90c2f4c44fbc9dahttps://doi.org/10.1001/jamanetworkopen.2020.7426
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Thirty‐Day Readmission Rates Among Dual‐Eligible Beneficiaries2015 · 23 citations
  2. 2Association of Dual Eligibility for Medicare and Medicaid With Heart Failure Quality and Outcomes Among Get With The Guidelines–Heart Failure Hospitals2021 · 27 citations
  3. 3Outcomes after ischemic stroke for dual-eligible Medicare-Medicaid beneficiaries in the United States2023 · 7 citations
  4. 4Unplanned Surgery in Dually Eligible Beneficiaries for Conditions that Should Be Treated Electively2024
  5. 5Factors Associated With Disparities in Hospital Readmission Rates Among US Adults Dually Eligible for Medicare and Medicaid2022 · 13 citations