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) |