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Table 4 Use of Hospital Care in Case Plans that Replaced a Hospital Deductible with a Per-diem Copayment Compared to Concurrent Trends in Matched Control Plans that Maintained a Hospital Deductible, in the Time Period Prior to the Benefit Change

From: Association of daily copayments with use of hospital care among medicare advantage enrollees

 

Intervention Plans

Control Plans

Difference- in-Difference Estimates

2 Years Before Benefit Change

1 Year Before Benefit Change

2 Years Before Intervention Plan Changes

1 Year Before Intervention Plan Changes

Unadjusted

Adjusted

All continuously enrolled beneficiaries

 Inpatient admissions per 100 enrollees

20.0

19.0

20.1

19.6

−0.4 (−1.3 to 0.4)

−0.4 (− 1.2 to 0.4)

 Inpatient days per 100 enrollees

86.2

82.3

84.3

85.2

−4.8 (−9.7 to 0.1)

−3.1 (−8.0 to 1.8)

 Proportion hospitalized (%)

14.3

14.2

13.8

13.7

−0.1 (− 0.6 to 0.4)

−0.5 (−1.0 to 0.0)

 Average inpatient length of stay

4.1

4.1

4.1

4.1

−0.1 (− 0.2 to 0.1)

−0.1 (− 0.2 to 0.1)