Table 3.
Targeted Conditions, Medicare | Targeted Conditions, Non‐Medicare | |||||
---|---|---|---|---|---|---|
AMI | Heart Failure | Pneumonia | AMI | Heart Failure | Pneumonia | |
California (2007–2011) | ||||||
Pre‐HRRP slope | 0.999 | 1.002 | 0.998 | 1.004 | 0.997 | 0.993* |
(0.991,1.007) | (0.997,1.007) | (0.993,1.003) | (0.994,1.014) | (0.990,1.005) | (0.986,1.001) | |
Post‐HRRP slope | 0.960*** | 0.987** | 0.983** | 1.004 | 0.984 | 1.002 |
(0.940,0.980) | (0.975,0.998) | (0.969,0.997) | (0.974,1.036) | (0.965,1.004) | (0.979,1.025) | |
Difference in slopes, post‐HRRP minus pre‐HRRP | 0.960*** | 0.984** | 0.985* | 1.001 | 0.987 | 1.009 |
(0.939,0.982) | (0.972,0.997) | (0.970,1.000) | (0.970,1.032) | (0.966,1.008) | (0.986,1.032) | |
Number of index admissions | 53,283 | 125,111 | 108,928 | 48,587 | 52,687 | 62,446 |
Number of hospitals | 260 | 269 | 269 | 253 | 267 | 264 |
Florida (2007–2013) | ||||||
Pre‐HRRP slope | 1.003 | 1.009*** | 1.007** | 0.985** | 1.002 | 1.001 |
(0.996,1.010) | (1.005,1.014) | (1.001,1.014) | (0.973,0.998) | (0.989,1.014) | (0.990,1.013) | |
Post‐HRRP slope | 0.983*** | 0.990*** | 0.989*** | 1.001 | 0.993* | 0.998 |
(0.977,0.990) | (0.986,0.994) | (0.984,0.994) | (0.989,1.013) | (0.984,1.001) | (0.990,1.006) | |
Difference in slopes, post‐HRRP minus pre‐HRRP | 0.980*** | 0.981*** | 0.982*** | 1.016 | 0.991 | 0.996 |
(0.971,0.990) | (0.975,0.987) | (0.974,0.991) | (0.997,1.035) | (0.975,1.008) | (0.983,1.010) | |
Number of index admissions | 86,439 | 194,295 | 133,381 | 45,791 | 37,283 | 57,400 |
Number of hospitals | 155 | 156 | 157 | 152 | 155 | 156 |
The 95 percent confidence intervals are reported in parentheses under the odds ratios; *p < .1, **p < .05, ***p < .01; models include patient‐level variables for risk adjustments including comorbidities and hospital‐level control variables.
Source: Authors’ analysis of 2007–2008 MedPAR Inpatient Research Identifiable Files and 2009–2013 100 percent Inpatient Standard Analytic Files for the California and Florida Medicare populations, 2007–2011 California State Inpatient Database for the California non‐Medicare population, and 2007–2013 Florida State Inpatient Database for the Florida non‐Medicare population.