TABLE 1.
4+ Hospitalizations | 1–3 Hospitalizations | ||||
---|---|---|---|---|---|
Hospital user type | # | Column % | # | Column % | P‐value a |
ALL | 3728 | 100.0% | 39 066 | 100.0% | |
Male | 2873 | 77.1% | 19 533 | 50.0% | <0.001 |
Age group | |||||
18–34 | 1041 | 27.9% | 11 815 | 30.2% | <0.001 |
35–54 | 1829 | 49.1% | 17 427 | 44.6% | |
55–64 | 858 | 23.0% | 9824 | 25.2% | |
Race/Ethnicity | |||||
White/Non‐Hispanic | 1817 | 48.7% | 18 920 | 48.4% | <0.001 |
Black/Non‐Hispanic | 337 | 9.0% | 3469 | 8.9% | |
Hispanic | 219 | 5.9% | 2988 | 7.7% | |
Other/unknown | 1355 | 36.4% | 13 689 | 35.0% | |
Mean HCC morbidity score (standard deviation) | 3.3 | (2.2) | 1.9 | (1.5) | <0.001 |
Housing problems b | 1233 | 33.1% | 8614 | 22.0% | <0.001 |
Disabled c | 1643 | 44.1% | 10 682 | 27.3% | <0.001 |
Serious mental illness | 3103 | 83.2% | 23 513 | 60.2% | <0.001 |
Substance use disorder | 2873 | 77.1% | 19 533 | 50.0% | <0.001 |
Any LTSS use | 1769 | 47.5% | 9265 | 23.7% | <0.001 |
Mean neighborhood stress score (standard deviation) d | 0.1 | (2.2) | 0.0 | (2.1) | 0.006 |
Note: Authors' calculations using data on 74 706 hospitalizations between January 1 and December 1, 2016 of 42 794 MassHealth managed care eligible adult members.
Abbreviations: HCC, morbidity burden measured using the CMS‐HCC diagnosis‐based Hierarchical Condition Category score; LTSS, long‐term services and supports.
Chi‐square or Student t test.
Housing problem is defined as 3+ distinct addresses or homelessness (Z59.0) on claims or encounter records during 2016.
Disability status is Medicaid entitlement for disability or qualification for specialized services for mental health or developmental disabilities in 2016.
Neighborhood stress score summarizes seven neighborhood‐level indicators of economic stress using U.S. Census block group data.