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：

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具有智力和发育障碍的所有付款人索赔人中的门诊护理敏感状况。

使用 2010 年至 2014 年在新罕布什尔州的医疗补助和商业索赔调查了患有和不患有智力和发育障碍 (IDD) 的受益人因门诊护理敏感病症 (ACSC) 住院的情况。IDD 是根据国际疾病分类第九版临床修改 (ICD-9-CM) 代码使用医疗保险和医疗补助服务中心的算法定义的，并且使用医疗保健有效性数据和信息集确定住院患者。在调整后的分析中，在两个保险组中，患有 IDD 的受益人因 ACSC 住院的次数多于没有 IDD 的受益人。商业和医疗补助保险组之间 ACSC 患病率、合并症和住院率模式的差异显示了使用所有支付者索赔数据的价值，