Medicare HMO penetration and mortality outcomes of ischemic stroke

Am J Manag Care. 2006 Jan;12(1):58-64.

Abstract

Objective: To examine associations between Medicare health maintenance organization (HMO) penetration and stroke mortality outcomes among older persons.

Study design: Panel analysis of nationally representative secondary data from 1993 to 1998.

Methods: The first analysis sample included ischemic stroke hospitalizations among older persons in the Nationwide Inpatient Sample; the second included county-level ischemic stroke deaths in the National Vital Statistics System. The 2 samples were merged with the HMO enrollment data and the 2001 Area Resource File. The 2 outcomes were in hospital death status and county-level population ischemic stroke death rates among older persons; the 2 utilization variables were length of hospital stay for ischemic stroke and proportion of ischemic stroke deaths occurring in hospitals. The 3 key explanatory variables were county-level Medicare total, independent practice association, and nonindependent practice association HMO penetration. Ordinary least squares analysis with hospital or county fixed effects was used in estimation.

Results: Medicare HMO penetration was not associated with the 2 ischemic stroke mortality outcomes (P > .05). Increases in Medicare total and independent practice association HMO penetration were associated with a significant shift in a higher proportion of stroke deaths from hospitals to nursing homes or residences (P < .05). Medicare HMO penetration was negatively associated with length of stay, although this was not statistically significant (P > .05).

Conclusions: Increased Medicare HMO penetration was associated with a shift in ischemic stroke deaths from hospitals to nonhospital settings. The effect of Medicare HMO penetration on quality of stroke care needs further research.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Brain Ischemia / complications*
  • Female
  • Health Maintenance Organizations / organization & administration*
  • Health Services Research
  • Hospital Mortality / trends*
  • Hospitalization / statistics & numerical data
  • Humans
  • Independent Practice Associations / statistics & numerical data
  • International Classification of Diseases
  • Least-Squares Analysis
  • Length of Stay / statistics & numerical data
  • Male
  • Medicare / organization & administration*
  • Multivariate Analysis
  • Neurology
  • Nursing Homes / statistics & numerical data
  • Outcome Assessment, Health Care
  • Population Surveillance
  • Risk Adjustment
  • Stroke* / etiology
  • Stroke* / mortality
  • United States / epidemiology
  • Workforce