Table 1.
Admission to pre-ACO | Admission to post-ACO | Non-ACO pre 01/01/2013 | Non-ACO post 01/01/2013 | |
---|---|---|---|---|
Unique benificiaries | 927,180 | 363,468 | 8,155,756 | 2,237,169 |
Total number of admissions | 2,146,586 | 786,678 | 18,779,688 | 4,789,864 |
Age, mean (SD) | 79.18 (7.72) | 79.20 (7.77) | 79.00 (7.69) | 79.06 (7.75) |
Male (%) | 41.87 | 42.08 | 41.91 | 42.21 |
Race (%) | ||||
Black | 8.44 | 8.36 | 9.74 | 9.67 |
White | 87.90 | 87.88 | 85.37 | 85.21 |
Hispanic | 1.40 | 1.30 | 1.95 | 1.90 |
Other | 2.26 | 2.46 | 2.94 | 3.22 |
Elixhauser comorbidity score (SD) | 8.77 (7.90) | 9.56 (8.45) | 8.64 (7.81) | 9.49 (8.34) |
Dual eligible (%) | 21.16 | 19.04 | 23.54 | 22.53 |
Primary diagnosis % (top 5) | ||||
Major joint replacement of lower extremity | 4.75 | 5.44 | 4.86 | 5.42 |
Heart failure and shock | 5.00 | 4.96 | 5.19 | 5.17 |
Simple pneumonia and pleurisy | 3.67 | 3.78 | 4.07 | 4.26 |
Septicemia or severe sepsis | 3.48 | 4.39 | 3.75 | 4.83 |
COPD | 3.49 | 3.23 | 3.80 | 3.71 |
Comorbidity % (top 5) | ||||
Hypertension | 49.38 | 51.69 | 49.87 | 51.58 |
Hyperlipidemia | 38.51 | 46.01 | 37.37 | 44.12 |
Coronary atherosclerosis | 35.60 | 38.46 | 34.99 | 37.30 |
Cardiac arrthymia | 31.40 | 34.66 | 30.29 | 33.39 |
Fluid or electrolyte disorder | 28.38 | 31.43 | 29.21 | 32.3 |
Urban zipcode (%) | 94.45 | 94.12 | 91.62 | 91.68 |
Discharge location (%) | ||||
SNF | 26.41 | 26.72 | 23.65 | 24.42 |
IRF | 3.93 | 4.14 | 3.64 | 3.81 |
Home with services (HHA) | 12.68 | 13.34 | 11.84 | 12.78 |
Home | 55.67 | 54.33 | 59.37 | 57.36 |
Other | 1.31 | 1.47 | 1.50 | 1.63 |
30-day readmission rate | 16.76 | 15.60 | 16.44 | 15.75 |
30-day mortality rate | 4.69 | 4.73 | 4.92 | 5.03 |
ACO accountable care organization, SD standard deviation, SNF skilled nursing facility, IRF inpatient rehabilitation facility, HHA Home Health Agency, PAC post-acute care