Disabled Medicare Beneficiaries By Dual Eligible Status

California, 1996-2001

Published in: Health Care Financing Review, v. 28, no. 4, Summer 2007, p. 57-67

Posted on RAND.org on January 01, 2007

by June O'Leary, Elizabeth M. Sloss, Glenn Melnick

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This highlight describes the characteristics and inpatient utilization of under age 65 disabled California Medicare beneficiaries by dual eligible status (i.e., Medicaid State buy-in coverage or not). More disabled dually eligible beneficiaries are younger, non-White, and in fee-for-service (FFS) than non-dually eligible beneficiaries. Disabled dually eligible beneficiaries experienced consistently higher hospitalization rates and average length of stay (LOS) than nondually eligible beneficiaries from 1996 to 2001. Inpatient days remain higher among dually eligible beneficiaries when stratified by the system of care, age, sex, or race. In addition, the hospitalization rate of disabled dually eligible beneficiaries was higher for most diagnoses, but how much higher varied by condition.

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