PURPOSE OF THE STUDY To compare acute care outcomes and costs among nursing home residents with community-dwelling home health recipients. DESIGN AND METHODS A matched retrospective cohort study of Alabamians aged more than or equal to 65 years admitted to a nursing home or home health between March 31, 2007 and December 31, 2008 (N = 1,291 pairs). Medicare claims were compared up to one year...

Farmers’ Empowerment has become an important part of the development agenda in the recent years. This study identified and analyzed the poverty status in terms of incidence, depth and severity among arable crop farmers in Osun State and compared the socio-economic characteristics of beneficiaries and non-beneficiaries of Farmers Empowerment Programme (FEP) in Osun State, Nigeria. The study made...

The 1990s saw the emergence of managed care into the Medicare marketplace. In the beginning of the decade nearly all beneficiaries were in the Medicare fee-forservice (FFS) program. In 1991 there were only 1 million Medicare risk health maintenance organization (HMO) members accounting for a little over 3 percent of the Medicare population. By 1999 there were over 6 million Medicare risk HMO me...

Survey (MCBS) is a powerful tool for analyzing the Medicare population. Based on a stratified random sample, we can derive information about the health care use, expenditure, and financing of Medicare’s 39 million enrollees. We can also learn about those enrollees’ health status, living arrangements, and access to and satisfaction with care. Figures 1-3 present findings on Medicare beneficiarie...

Probabilistic and possibilistic models of sequential decision problems are known to possess good behavioral algorithmic properties. In this paper, the range under uncertainty that dynamically consistent, consequentialist allow for tree reduction is enlarged by considering a representation both probabilistic possibilistic. The corresponding utility functional expected highly likely states, an op...

About 13 percent of Medicare beneficiaries receive some assistance from Medicaid. States “buy in” Medicare coverage for these low-income beneficiaries. For those eligible, states also provide benefits beyond those covered by Medicare. Buy-in beneficiaries are different from other Medicare beneficiaries in many ways. They have lower incomes, which is consistent with the policy intent. They use m...

Now is the time for the science of epidemiology to embrace its pragmatic roots. The article by Galea in this issue of the Journal (Am J Epidemiol. 2013;178(8):1185-1191) calls for us to become more "consequentialist." The Affordable Care Act allows us to access population-level databases from which we can examine how to deliver care more efficiently and cost-effectively. Asking the questions "s...

BACKGROUND Despite the persistence of significant disparities, few evaluations examine disparities in laboratory testing by race/ethnicity, age, sex, Medicaid eligibility, and number of chronic conditions for Medicare fee-for-service beneficiaries' newly prescribed medications. In Medicare beneficiaries initiating diuretics or digoxin, this study examined disparities in guideline-appropriate ba...

received additional monthly benefits because of the increase in the exempt amount. Further increases in the exempt amount would undoubtedly continue to be accompanied by even more rapid increases in the proportion of 4-quarter workers, including full-time workers, who would be able to draw benefits. One of the inequities of the retirement test before the 1954 amendments was the dual exemption g...

STUDY OBJECTIVES Health care utilization has progressively increased, especially among Medical Aid beneficiaries in South Korea. The Medical Aid classifies beneficiaries into two categories, type 1 and 2, on the basis of being incapable (those under 18 or over 65 years of age, or disabled) or capable of working, respectively. Medical Aid has a high possibility for health care utilization due to...