{"id":10485,"date":"2019-03-07T00:00:00","date_gmt":"2019-03-07T00:00:00","guid":{"rendered":"http:\/\/research.christianacare.org\/publications\/2019\/03\/07\/implications-of-cost-sharing-for-observation-care-among-medicare-beneficiaries-a-pilot-survey\/"},"modified":"2021-12-13T21:11:37","modified_gmt":"2021-12-13T21:11:37","slug":"implications-of-cost-sharing-for-observation-care-among-medicare-beneficiaries-a-pilot-survey","status":"publish","type":"post","link":"https:\/\/research.christianacare.org\/publications\/2019\/03\/07\/implications-of-cost-sharing-for-observation-care-among-medicare-beneficiaries-a-pilot-survey\/","title":{"rendered":"&#8220;Implications of cost-sharing for observation care among Medicare beneficiaries: a pilot survey&#8221;"},"content":{"rendered":"<p>Goldstein JN, Schwartz JS, McGraw P, Hicks LS<\/p>\n<p>BMC Health Serv Res 2019 Mar;19(1):149<\/p>\n<p>PMID: <a href='https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30845953' title=''>30845953<\/a><\/a><\/p>\n<h2>Abstract<\/h2>\n<p><p><strong>BACKGROUND: <\/strong>Medicare beneficiaries hospitalized under observation status have significant cost-sharing responsibilities under Medicare Part B. Prior work has demonstrated an association between increased cost-sharing and health care rationing among low-income Medicare beneficiaries. The objective of this study was to explore the potential impact of observation cost-sharing on future medical decision making of Medicare beneficiaries.<\/p>\n<p><strong>METHODS: <\/strong>Single-center pilot cohort study. A convenience sample of Medicare beneficiaries hospitalized under observation status care was surveyed.<\/p>\n<p><strong>RESULTS: <\/strong>Out of 144 respondents, low-income beneficiaries were more likely to be concerned about the cost of their observation stay than higher-income respondents (70.7% vs29.3%, p\u00a0=\u20090.015). If hospitalized under observation status again, there was a trend among low-income beneficiaries to request completion of their workup outside of the hospital (56.3% vs 43.8%), and to consider leaving against medical advice (AMA) (100% vs 0%), though these trends were not statistically significant (p\u00a0=\u20090.30).<\/p>\n<p><strong>CONCLUSION: <\/strong>The results of this pilot study suggest that low-income Medicare beneficiaries hospitalized under observation status have greater concerns about their cost-sharing obligations than their higher income peers. Cost-sharing for observation care may have unintended consequences on utilization for low-income beneficiaries. Future studies should examine this potential relationship on a larger scale.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Goldstein JN, Schwartz JS, McGraw P, Hicks LS BMC Health Serv Res 2019 Mar;19(1):149 PMID: 30845953 Abstract BACKGROUND: Medicare beneficiaries hospitalized under observation status have significant cost-sharing responsibilities under Medicare Part B. Prior work has demonstrated an association between increased cost-sharing and health care rationing among low-income Medicare beneficiaries. The objective of this study was<\/p>\n<p><a class=\"more-link\" href=\"https:\/\/research.christianacare.org\/publications\/2019\/03\/07\/implications-of-cost-sharing-for-observation-care-among-medicare-beneficiaries-a-pilot-survey\/\">Continue reading <span class=\"screen-reader-text\">&#8220;Implications of cost-sharing for observation care among Medicare beneficiaries: a pilot survey&#8221;<\/span><\/a><\/p>\n","protected":false},"author":45,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[41,15,1],"tags":[],"class_list":["post-10485","post","type-post","status-publish","format-standard","hentry","category-ireach","category-medicine","category-pubs-pres"],"acf":[],"_links":{"self":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/posts\/10485","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/users\/45"}],"replies":[{"embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/comments?post=10485"}],"version-history":[{"count":0,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/posts\/10485\/revisions"}],"wp:attachment":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/media?parent=10485"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/categories?post=10485"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/tags?post=10485"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}