From: Comparative effectiveness of long-term acute care hospital versus skilled nursing facility transfer
LTACH, $ | SNF, $ | Difference, $ (95% CI) | P-value | |
---|---|---|---|---|
Medicare Spending | ||||
Index episode of carea, b | ||||
Unadjusted | 51,822 | 21,465 | 30,358 (27,985-32,730) | <.001 |
Medicare model | 43,630 | 23,186 | 20,443 (18,511-22,375) | <.001 |
Medicare & EHR model | 43,721 | 23,179 | 20,542 (18,603-22,481) | <.001 |
Post-Index episode of carec,d | ||||
Unadjusted | 32,724 | 21,843 | 10,881 (7325-14,437) | <.001 |
Medicare model | 22,788 | 24,121 | -1334 (− 4477-1810) | 0.41 |
Medicare & EHR model | 22,790 | 24,137 | -1347 (− 4518-1825) | 0.41 |
Total 1-year spendingb | ||||
Unadjusted | 84,652 | 43,343 | 41,309 (36,304-46,313) | <.001 |
Medicare model | 64,141 | 47,847 | 16,294 (11,859-20,728) | <.001 |
Medicare & EHR model | 64,476 | 47,787 | 16,689 (12,216-21,162) | <.001 |
All Payer Spending | ||||
Index episode of carea,b | ||||
Unadjusted | 54,557 | 24,705 | 29,851 (27,267-32,435) | <.001 |
Medicare model | 45,793 | 26,561 | 19,232 (16,966-21,498) | <.001 |
Medicare & EHR model | 45,959 | 26,546 | 19,414 (17,137-21,690) | <.001 |
Post-index episode of carec,d | ||||
Unadjusted | 37,611 | 24,804 | 12,807 (8728-16,887) | <.001 |
Medicare model | 26,336 | 27,333 | − 997 (− 4623-2629) | 0.59 |
Medicare & EHR model | 26,348 | 27,338 | − 991 (− 4656-2675) | 0.60 |
Total 1-year spendingb | ||||
Unadjusted | 92,310 | 49,541 | 42,769 (37,346-48,191) | <.001 |
Medicare model | 69,798 | 54,461 | 15,337 (10,452-20,222) | <.001 |
Medicare & EHR model | 70,193 | 54,399 | 15,795 (10,858-20,731) | <.001 |