FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3082985311> ?p ?o ?g. }

• W3082985311 endingPage "647.e1" @default.
• W3082985311 startingPage "642" @default.
• W3082985311 abstract "Objectives To provide an estimate and level of uncertainty for Medicaid cost savings due to Minnesota's Return to Community Initiative (RTCI). Design Medicaid cost savings are estimated using a semi-Markov model and simulation approach. Setting and Participants RTCI is a statewide program that assists private paying nursing home residents with discharge to the community. When originally proposed, it was expected that the program would reduce state Medicaid expenditures, primarily through the shifting of residents from nursing homes to a less costly community setting. In prior analysis, we estimated that approximately 1 in 9 residents targeted for transition by the program would not have returned to the community without the RTCI. Accurate cost savings estimates require consideration of complex resident care trajectories, that is, nursing home readmissions, use of assisted living and community-based services, and mortality. Measures Data were from 30,234 private pay nursing home residents admitted during 2011, primarily for post-acute stays, to 378 facilities in Minnesota, and followed for 4 years postadmission for outcomes and time to event. Resident characteristics were taken from the Minimum Data Set (MDS) admission assessment. We modeled variability in care trajectories with a semi-Markov formulation. Transition probabilities were estimated using Multinomial regression. Time to event was modeled using the best-fitting, positive, right-skewed distribution for each path. The simulation was run (1000 times) with and without the RTCI impact to estimate change in Medicaid days in various settings. Results Program savings was estimated at $4.1 million per year of effort over a 4-year accumulation period. Conclusions and Implications The RTCI produced a modest Medicaid cost savings in excess of the annual program budget of $3.5 million. Findings from the semi-Markov model and simulation increase our understanding of care transitions between nursing home, community, Medicaid status, and mortality." @default.
• W3082985311 created "2020-09-08" @default.
• W3082985311 creator A5000868311 @default.
• W3082985311 creator A5016441202 @default.
• W3082985311 creator A5052442701 @default.
• W3082985311 date "2021-03-01" @default.
• W3082985311 modified "2023-09-27" @default.
• W3082985311 title "Using a Semi-Markov Model to Estimate Medicaid Cost Savings due to Minnesota's Return to Community Initiative" @default.
• W3082985311 cites W2004614610 @default.
• W3082985311 cites W2021093515 @default.
• W3082985311 cites W2086551945 @default.
• W3082985311 cites W2088598982 @default.
• W3082985311 cites W2121752631 @default.
• W3082985311 cites W2129237994 @default.
• W3082985311 cites W2152528861 @default.
• W3082985311 cites W2156594587 @default.
• W3082985311 cites W2214613157 @default.
• W3082985311 cites W2343850788 @default.
• W3082985311 cites W2345063902 @default.
• W3082985311 cites W2397237484 @default.
• W3082985311 cites W2762003305 @default.
• W3082985311 cites W2797660445 @default.
• W3082985311 cites W2898602203 @default.
• W3082985311 cites W2905579710 @default.
• W3082985311 cites W2913888200 @default.
• W3082985311 cites W2921433047 @default.
• W3082985311 cites W2932567480 @default.
• W3082985311 cites W2980637680 @default.
• W3082985311 cites W2996775878 @default.
• W3082985311 doi "https://doi.org/10.1016/j.jamda.2020.07.016" @default.
• W3082985311 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32868250" @default.
• W3082985311 hasPublicationYear "2021" @default.
• W3082985311 type Work @default.
• W3082985311 sameAs 3082985311 @default.
• W3082985311 citedByCount "2" @default.
• W3082985311 countsByYear W30829853112022 @default.
• W3082985311 crossrefType "journal-article" @default.
• W3082985311 hasAuthorship W3082985311A5000868311 @default.
• W3082985311 hasAuthorship W3082985311A5016441202 @default.
• W3082985311 hasAuthorship W3082985311A5052442701 @default.
• W3082985311 hasConcept C105795698 @default.
• W3082985311 hasConcept C144133560 @default.
• W3082985311 hasConcept C159110408 @default.
• W3082985311 hasConcept C160735492 @default.
• W3082985311 hasConcept C162118730 @default.
• W3082985311 hasConcept C162324750 @default.
• W3082985311 hasConcept C163836022 @default.
• W3082985311 hasConcept C2776534028 @default.
• W3082985311 hasConcept C2779028819 @default.
• W3082985311 hasConcept C3019398978 @default.
• W3082985311 hasConcept C33923547 @default.
• W3082985311 hasConcept C50522688 @default.
• W3082985311 hasConcept C71924100 @default.
• W3082985311 hasConcept C74909509 @default.
• W3082985311 hasConcept C98763669 @default.
• W3082985311 hasConceptScore W3082985311C105795698 @default.
• W3082985311 hasConceptScore W3082985311C144133560 @default.
• W3082985311 hasConceptScore W3082985311C159110408 @default.
• W3082985311 hasConceptScore W3082985311C160735492 @default.
• W3082985311 hasConceptScore W3082985311C162118730 @default.
• W3082985311 hasConceptScore W3082985311C162324750 @default.
• W3082985311 hasConceptScore W3082985311C163836022 @default.
• W3082985311 hasConceptScore W3082985311C2776534028 @default.
• W3082985311 hasConceptScore W3082985311C2779028819 @default.
• W3082985311 hasConceptScore W3082985311C3019398978 @default.
• W3082985311 hasConceptScore W3082985311C33923547 @default.
• W3082985311 hasConceptScore W3082985311C50522688 @default.
• W3082985311 hasConceptScore W3082985311C71924100 @default.
• W3082985311 hasConceptScore W3082985311C74909509 @default.
• W3082985311 hasConceptScore W3082985311C98763669 @default.
• W3082985311 hasFunder F4320332177 @default.
• W3082985311 hasIssue "3" @default.
• W3082985311 hasLocation W30829853111 @default.
• W3082985311 hasOpenAccess W3082985311 @default.
• W3082985311 hasPrimaryLocation W30829853111 @default.
• W3082985311 hasRelatedWork W1521804286 @default.
• W3082985311 hasRelatedWork W1531605777 @default.
• W3082985311 hasRelatedWork W2013677504 @default.
• W3082985311 hasRelatedWork W2099994958 @default.
• W3082985311 hasRelatedWork W2333036479 @default.
• W3082985311 hasRelatedWork W2769106253 @default.
• W3082985311 hasRelatedWork W2920917847 @default.
• W3082985311 hasRelatedWork W2944225017 @default.
• W3082985311 hasRelatedWork W3091700253 @default.
• W3082985311 hasRelatedWork W4302099684 @default.
• W3082985311 hasVolume "22" @default.
• W3082985311 isParatext "false" @default.
• W3082985311 isRetracted "false" @default.
• W3082985311 magId "3082985311" @default.
• W3082985311 workType "article" @default.