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Table 2 Change in inpatient and skilled nursing facility use among continuously enrolled members in intervention plans versus those in control plans

From: First-dollar cost-sharing for skilled nursing facility care in medicare advantage plans

 

Intervention plans

Control plans

Difference-in-differences

 

Year prior to copayment increases

Change

Year prior to copayment increases

Change

Unadjusted

Adjusted (95% CI)

All Members

 Any inpatient use (%)

18.8

−1.0

15.4

1.1

−2.0

−1.6*** (−2.0, −1.2)

 Any SNF use (%)

4.0

0.0

4.1

0.6

−0.6

−0.4*** (−0.7,-0.2)

 Annual inpatient days per 100 enrollees

178.6

−11.1

105.0

8.1

−19.1

−12.1*** (−14.5,-9.7)

 Annual SNF days per 100 enrollees

157.3

−8.0

132.2

26.1

−34.2

−26.7*** (−29.7,-23.8)

Inpatients

 Any SNF use (%)

19.5

0.8

23.0

2.1

−1.3

−0.9 (−2.2, 0.3)

 Annual inpatient days per 100 hospitalized enrollees

949.9

−10.4

681.9

4.4

−14.9

8.4 (−18.0, 34.8)

 Annual SNF days per 100 hospitalized enrollees

768.3

−17.7

721.7

86.4

−104.1

−87.0***(−112.1,-61.9)

  1. Authors’ analysis of data on hospital utilization from the Healthcare Effectiveness Data and Information Set and data on skilled nursing facility utilization from the Residential History File from the Minimum Data Set. SNF = Skilled nursing facility. ***p < 0.001