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Ambulatory Care Sensitive Conditions Among All-Payer Claimants With Intellectual and Developmental Disabilities.
American Journal on Intellectual and Developmental Disabilities ( IF 1.9 ) Pub Date : 2021-05-01 , DOI: 10.1352/1944-7558-126.3.203
Kimberly G Phillips 1 , Jeanne S Wishengrad 1 , Andrew J Houtenville 1
Affiliation  

Inpatient hospitalizations for ambulatory care sensitive conditions (ACSC) among beneficiaries with and without intellectual and developmental disabilities (IDD) were examined using Medicaid and commercial claims from 2010-2014 in New Hampshire. IDD was defined with International Classification of Diseases, Ninth Edition, Clinical Modification (ICD-9-CM) codes using algorithms from the Centers for Medicare and Medicaid Services, and inpatient encounters were identified using the Healthcare Effectiveness Data and Information Set. In adjusted analyses, beneficiaries with IDD had more hospitalizations for ACSC than those without IDD in both insurance groups. Differences in patterns of ACSC prevalence, comorbidities, and hospital admissions between the commercially and Medicaid-insured groups show the value of using all-payer claims data, when possible, to understand health needs and health care utilization of insurance beneficiaries with IDD.

中文翻译:

具有智力和发育残疾的全薪索赔人中的非卧床护理敏感情况。

使用2010-2014年新罕布什尔州的医疗补助和商业索赔,对患有和不患有智力和发育障碍(IDD)的受益人中的门诊医疗敏感病(ACSC)住院住院情况进行了检查。IDD是使用国际医疗保险和医疗补助服务中心的算法通过《国际疾病分类》第九版,临床修改(ICD-9-CM)代码定义的,并使用了“医疗保健有效性数据和信息集”来识别住院患者。在调整后的分析中,两个保险组中IDD受益人的ACSC住院率均高于没有IDD的受益人。商业组和医疗保险组之间ACSC患病率,合并症和住院情况的差异表明,使用全付款人索赔数据的价值,
更新日期:2021-05-01
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