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Study Data from Yale University School of Public Health Provide New Insights into Managed Care (Association Between Medicare Eligibility At Age 65 Years and In-hospital Treatment Patterns and Health Outcomes for Patients With Trauma: Regression ...): Managed Care - Insurance News
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Senator John Scott Jr.'s legacy remembered by fellow colleagues
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Objective To determine whether health systems in the United States modify treatment or discharge decisions for otherwise similar patients based on health insurance coverage.
Design Regression discontinuity approach.
Setting American College of Surgeons’ National Trauma Data Bank, 2007-17.
Participants Adults aged between 50 and 79 years with a total of 1 586 577 trauma encounters at level I and level II trauma centers in the US.
Interventions Eligibility for Medicare at age 65 years.
Main outcome measures The main outcome measure was change in health insurance coverage, complications, in-hospital mortality, processes of care in the trauma bay, treatment patterns during hospital admission, and discharge locations at age 65 years.
Results 1 586 577 trauma encounters were included. At age 65, a discontinuous increase of 9.6 percentage points (95% confidence interval 9.1 to 10.1) was observed in the share of patients with health insurance coverage through Medicare at age 65