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Introduction:In recent years, Medicare Advantage (MA) enrollment in the US has increased dramatically relative to traditional Medicare (TM). We used discharge claims to identify the initial discharge destination classified as home, home health, IRF, skilled nursing facility (SNF) or other.
Methods:Data were retrieved from a CMS Qualified Entity housing healthcare utilization data for ≥80% of the Texas state population (100% of Medicare Fee-for-Service). Analytical sample included all Medicare enrollees with a primary discharge diagnosis (AIS or ICH) from 2016 to 2020. and 82.3% (Panel D).Conclusion:Post
Introduction:Two-thirds of US stroke patients undergo rehabilitation post-discharge with about 20% and 25% receiving care at an inpatient rehabilitation facility (IRF) and skilled nursing facility (SNF), respectively. Patients admitted to IRF or SNF after hospital discharge were confirmed using claims data.
While hypoglycemia has been established as a risk factor for cardiovascular events such as acute ischemic stroke (AIS), there is limited research demonstrating hypoglycemic events as stroke triggers.
We compared 1 and 2year DAH among patients with functional mitral regurgitation and heart failure randomized to mTEER plus medical therapy versus medical therapy alone (control) by linking the COAPT trial to comprehensive health care claims data.Methods and ResultsWe linked data from COAPT trial participants to Medicare feeforservice claims.
I know the nurse explained my medications to me at the hospital. This math deficit was not recognized until I got home. I lived alone and I had to take care of myself, and I was unable to cope. The simple act of maintaining post-care medications was extremely difficult for me. This missing puzzle piece matters now more than ever.
The study included 167 Medicare patients with suspected acute stroke transported by MSU and 2518 propensity scorematched controls. days,P=0.13) and were similarly likely to be discharged to a skilled nursing facility (15.6% versus 9.4%; difference, 37.5 percentage points [95% CI, 30.245.6];P<0.001) versus 15.1%,P=0.86).
Within the PSD cohort, 25 451 (71.5%) had no death or recurrent stroke within 6 months and 5592 (15.7%) had no death or readmission of any cause within 6 months.
Established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) , the MIPS Program is pivotal in determining Medicare payment adjustments for healthcare practices. What is MIPS? Below, we will explore how Gemms One Interoperability can revolutionize the way cardiologists approach MIPS reporting changes.
We evaluated the influence of early (30-day) post-acute care (PAC) pathways on 1-year HT.Methods:We analyzed a cohort of Medicare AIS patients at a 7-hospital stroke certified health system (2016 to 2020). All claims within 1 year of hospitalization were collated and grouped into corresponding care pathways. One-year HT (i.e.,
This initiative aimed to enhance the post-discharge process to improve care quality and reduce missed follow-ups.Methods:We implemented a streamlined follow-up process for stroke patients discharged home, aligning with the Centers for Medicaid and Medicare (CMS) definition of the Transitional Care Management (TCM).
This initiative, led by Advanced Practice Providers (APPs), aimed to refine the post-discharge process to enhance care quality and reduce missed follow-ups.Methods:We introduced a streamlined follow-up process for stroke patients discharged home, adhering to the Centers for Medicaid and Medicare (CMS) Transitional Care Management (TCM) model.
Supervised exercise therapy, the gold standard exercise therapy for patients with PAD, is woefully underutilized despite its known health benefits and the fact that it is covered by Medicare and most health insurance plans,” said Gornik. Rates of referral for supervised exercise therapy among PAD patients are incredibly low.
Separate multivariable logistic regression models were fit to determine factors associated with discharge to IR vs. home (model 1) and IR vs. unfavorable discharge (UD; long-term acute care, skilled nursing facility, hospice, expired, other; model 2). Medicare, 1.17 [1.08-1.26]; female and15.7% Asian, and 3.5% 1.26]; 1.30 [1.18-1.43]),
Introduction:There has been an ongoing debate regarding the effectiveness of inpatient rehabilitation facility (IRF) and skilled nursing facility (SNF) in promoting functional recovery. Stroke, Volume 56, Issue Suppl_1 , Page AWMP45-AWMP45, February 1, 2025.
Programs receive a set amount monthly from Medicare and Medicaid to provide nearly everything for people over 55 whose needs qualify them for a nursing home but who don’t want to enter one.
Device nurses and techs can better prioritize their workloads with software that relieves the clerical burden of manually reviewing, editing, and triaging alerts. Device-following cardiologists benefit from the software because it creates a more accurate and efficient manner of managing their patients’ alerts.
BackgroundOver 20% of patients are discharged to a skilled nursing facility (SNF) after coronary artery bypass graft surgery, but little is known about specific drivers for postdischarge SNF use. Journal of the American Heart Association, Ahead of Print.
Study Population includes all patients with an ischemic stroke inpatient admission in 2018 and were continuously enrolled with Medicare FFS for 1 year prior to and following their initial 2018 stroke admission. Discharge disposition of subacute nursing facility (SNF) represents 36.1% female and 83.1% in study population).
METHODS:Using Medicare-linked data from the Evolut Low Risk trial, we identified 619 patients: 606 (322 TAVR/284 SAVR) and 593 (312 TAVR/281 SAVR) were analyzed at 1 and 2 years, respectively. Secondary outcomes DAH30and DAH90were higher in TAVR (DAH30, 26.0±3.6 difference in days, 5.3 [4.5–6.2];P<0.001; P<0.001; DAH90, 85.1±8.3
I learned about the complexities of health insurance – and after several years, I transitioned to the Medicare & Retirement Clinical value team where we worked to reduce the cost of United’s Medicare Advantage plans. In 2022, I received a call from a friend who said she had an open role that would fit me perfectly.
Medicare) insured (1.73, 1.66-1.79), Patients with ICH (vs. AIS) were more likely to be discharged to IRF (vs. home) (aOR, CI: 2.17, 2.10-2.26). Patients discharged to IRF (vs. SNF) were more likely to be privately (vs. 1.79), and reside in the highest income quartile zip codes, vs. lowest quartile (aOR, CI: 1.31, 1.26-1.35).
Elliott Fisher during a 2006 public meeting with the Medicare Payment Advisory Committee (MedPAC). Then, six years later in 2012, The Patient Protection and Affordable Care Act (ACA) authorized the use of Accountable Care Organizations (ACOs) to improve the safety and quality of care and reduce health care costs in Medicare.
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