MMRR
2012: Volume 2 (3)
Medicare & Medicaid Research Review 2012: Volume 2, Number 3
A publication of the Centers for Medicare & Medicaid Services, Center for Strategic Planning
Service Utilization of Veterans Dually Eligible for VA and Medicare Fee-For-Service: 1999–2004 Jennifer Humensky,1,2,3 Henry Carretta,1,4 Kristin de Groot,1 Melissa M. Brown,1 Elizabeth Tarlov,1,2 Denise M. Hynes1,2,5 1
2
VA Information Resource Center, Edward Hines Jr. VA Hospital
Center for Management of Complex Chronic Care, Edward Hines, Jr. VA Hospital 3 New York State Psychiatric Institute 4 Florida State University 5 University of Illinois
Objective: To examine care system choices for Veterans dually-eligible for VA and Medicare FFS following changes in VA eligibility policy, which expanded availability of VA health care services. Data Sources: VA and Medicare FFS enrollment and outpatient utilization databases in 1999 and 2004. Study Design: Multinomial logistic regression was used to examine odds of VA-only and Medicare-only utilization, relative to dual utilization, in 1999 and 2004. Observational cohort comprising a 5% random sample of dually-eligible Veterans: 73,721 in 1999 and 125,042 in 2004. Principal Findings: From 1999 to 2004, persons with the highest HCC risk scores had decreasing odds of exclusive VA reliance (OR=0.26 in 1999 and 0.17 in 2004, p
2012: Volume 2 (3)
Medicare & Medicaid Research Review 2012: Volume 2, Number 3
A publication of the Centers for Medicare & Medicaid Services, Center for Strategic Planning
Service Utilization of Veterans Dually Eligible for VA and Medicare Fee-For-Service: 1999–2004 Jennifer Humensky,1,2,3 Henry Carretta,1,4 Kristin de Groot,1 Melissa M. Brown,1 Elizabeth Tarlov,1,2 Denise M. Hynes1,2,5 1
2
VA Information Resource Center, Edward Hines Jr. VA Hospital
Center for Management of Complex Chronic Care, Edward Hines, Jr. VA Hospital 3 New York State Psychiatric Institute 4 Florida State University 5 University of Illinois
Objective: To examine care system choices for Veterans dually-eligible for VA and Medicare FFS following changes in VA eligibility policy, which expanded availability of VA health care services. Data Sources: VA and Medicare FFS enrollment and outpatient utilization databases in 1999 and 2004. Study Design: Multinomial logistic regression was used to examine odds of VA-only and Medicare-only utilization, relative to dual utilization, in 1999 and 2004. Observational cohort comprising a 5% random sample of dually-eligible Veterans: 73,721 in 1999 and 125,042 in 2004. Principal Findings: From 1999 to 2004, persons with the highest HCC risk scores had decreasing odds of exclusive VA reliance (OR=0.26 in 1999 and 0.17 in 2004, p
