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Comparative Study
. 2019 Jun 4;321(21):2129-2131.
doi: 10.1001/jama.2019.1146.

Prevalence and Payments for Traumatic Injury Compared With Common Acute Diseases by Episode of Care in Medicare Beneficiaries, 2008-2014

John R Montgomery  1 , Anne H Cain-Nielsen  1 , Peter C Jenkins  2 , Scott E Regenbogen  1 , Mark R Hemmila  1
Affiliations
Comparative Study

Prevalence and Payments for Traumatic Injury Compared With Common Acute Diseases by Episode of Care in Medicare Beneficiaries, 2008-2014

John R Montgomery et al. JAMA. .

Abstract

This study uses Medicare Parts A and B claims data to compare hospitalizations for and spending on traumatic injury vs heart failure, pneumonia, stroke, and acute myocardial infarction in older adults between 2008 and 2014.

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Conflict of interest statement

Conflict of Interest Disclosures: Ms Cain-Nielsen reported receiving salary support from Blue Cross Blue Shield of Michigan (a nonprofit mutual company) and the Michigan Department of Health and Human Services through their support of the Michigan Trauma Quality Improvement Program. Dr Regenbogen reported receiving salary support from Blue Cross Blue Shield of Michigan through its support of the Michigan Value Collaborative and grants from the National Institute on Aging. Dr Hemmila reported receiving reported receiving salary support from Blue Cross Blue Shield of Michigan and the Michigan Department of Health and Human Services through their support of the Michigan Trauma Quality Improvement Program; grants from the National Institute of General Medical Sciences, the American Burn Association, the Department of Defense, and Ford Motor Company; and personal fees from the American College of Surgeons. No other disclosures were reported.

Figures

Figure.
Figure.. Mean Cumulative Annual 90-Day Payments Associated With Inpatient Hospitalizations Among Medicare Beneficiaries by Condition, 2008-2014 (20% Sample)
Data represent mean overall annual expenditures in dollars for index hospitalization, readmission, postacute care, and total 90-day payments associated with inpatient hospitalization by condition for fee-for-service Medicare beneficiaries. Postacute care includes skilled nursing facility, inpatient rehabilitation, Part B expenses, and long-term care. Home health care payment data were not available. Data are presented for the 20% sample only and are not projected to 100% of the population. Error bars indicate 95% CIs. P < .001 for traumatic injury vs all other conditions and payment categories.
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References

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