Some seniors are eligible for both Medicare and Medicaid benefits–the term used is “dual eligibles.” This study of Medicare inpatient claims data for 2009 took a look at 30-day readmissions associated with seven cardiovascular and pulmonary conditions — heart attack, pneumonia, heart failure, chronic obstructive pulmonary disease, bypass surgery, angioplasty, and other vascular conditions. A relationship between dual-eligible status and a higher rate of readmissions was found, possibly because these patients are more frail and more likely to be in nursing homes.
Source: Gu, Q, Koenig, L., and others. The Medicare hospital readmissions reduction program: potential unintended consequences for hospitals serving vulnerable populations. Health Services Research;49(3):818-837, June 2014. Click here for the publisher’s website: http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12150/pdf Posted by AHA Resource Center (312) 422-2050, email@example.com