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Differences in healthcare utilization between enrollees of fully integrated dual eligible special needs plans versus non-fully integrated plans.

Hyunjee KimAngela SendersClint SergiErika SimeonSean Shenghsiu HuangHiroko H DodgeK John McConnellEric T Roberts
Published in: Journal of the American Geriatrics Society (2024)
While we found no differences in healthcare utilization between FIDE and non-FIDE plan enrollees when considering all dually eligible individuals in our sample, some differences emerged when focusing on subgroups. For example, HCBS users with FIDE plans had fewer hospitalizations and were more likely to be discharged to their home following hospitalization, compared to HCBS users with non-FIDE plans. These findings suggest that FIDE plans may improve care coordination for specific subsets of dually eligible individuals.
Keyphrases
  • healthcare
  • health insurance
  • affordable care act
  • quality improvement
  • peripheral blood
  • pain management