TABLE 4.
Telehealth-Postdischarge Services | |||||||
---|---|---|---|---|---|---|---|
YES | NO | ||||||
ME | 95% CI | ME | 95% CI | Difference | |||
Black patients with ADRD | |||||||
Total Medicare payment | $32,787.87 | $31,644.04 | $33,931.70 | $33,892.29 | $33,484.21 | $34,300.37 | $ (1,104.42) |
Acute inpatient Medicare payment | $14,193.87 | $13,629.33 | $14,758.42 | $14,763.09 | $14,536.57 | $14,989.60 | $ (569.22) |
Telehealth-Treatment Services | |||||||
YES | NO | ||||||
ME | 95% CI | ME | 95% CI | Difference | |||
Black patients with ADRD | |||||||
Total Medicare payment | $32,317.64 | $30,719.59 | $33,915.69 | $33,860.62 | $33,466.13 | $34,255.12 | $ (1,542.98) |
Acute inpatient Medicare payment | $14,432.64 | $13,590.42 | $15,274.87 | $14,714.42 | $14,496.79 | $14,932.05 | $ (281.78) |
Hispanic patients with ADRD | |||||||
Total Medicare payment | $33,309.41 | $30,846.03 | $35,772.80 | $35,388.49 | $34,768.11 | $36,008.87 | $ (2,079.08) |
Acute inpatient Medicare payment | $14,872.03 | $13,438.72 | $16,305.33 | $15,499.53 | $15,137.49 | $15,861.57 | $ (627.50) |
This study focused on community-dwelling Medicare fee-for-service beneficiaries who had a diagnosis of ADRD that were aged 65 and older and had at least 1 hospital visit in 2017. Elderly with Medicare Advantage or dual eligibilities were not included. ADRD was defined using the CMS chronic conditions data warehouse codes. Non-Hispanic White (White), Black, and Hispanic patients with ADRD are reported where non-Hispanic Whites were used as the reference group.
ADRD indicates Alzheimer disease and related dementias; ME, marginal effect.