Length-of-stay after delivery: managed care versus fee-for-service.

Length of Stay and Inpatient Costs Under Medicaid Managed Care in Florida

This study examines the patterns of length of stay (LOS) and inpatient costs for both Medicaid managed care and nonmanaged care patients using data from Medicaid patients aged 18 to 64 years who were discharged from hospitals in Florida between 2006 and 2012. This study used pooled cross-sectional multilevel modeling. The results show that the type of Medicaid program in which patients were enr...

Hospice use among Medicare managed care and fee-for-service patients dying with cancer.

CONTEXT For most patients aged 65 years or older with cancer, hospice services are uniformly covered by Medicare. Hospice care is believed to improve care for patients at the end of life. However, few patients use hospice and others enroll too late to maximize the benefits of hospice services. OBJECTIVES Because type of insurance may affect use, we examined whether patients with Medicare mana...

Influence of Insurance Type on the Use of Procedures, Medications and Hospital Outcome in Patients With Unstable Angina: Results from the GUARANTEE Registry

Objectives. The purpose of this study was to investigate whether or not there is an association between managed care insurance and the delivery and outcome of care in patients presenting with unstable angina. Background. The proportion of U.S. patients with managed care health insurance is increasing. This may be associated with recent improvements in the control of health care costs. It is unk...

Regional variation in acute care length of stay after orthopaedic surgery total joint replacement surgery and hip fracture surgery.

OBJECTIVE To examine change in regional variations in acute care length of stay (LOS) after orthopedic surgery following expiration of the New York (NY) State exemption to the Prospective Payment System and implementation of the Medicare Short Stay Transfer Policy. METHODS Time series analyses were conducted to evaluate change in LOS across regions after policy implementations. Small area ana...

Balancing cost and quality in fee-for-service versus managed care.