Report of Maryland Medicare-Medicaid dual eligibles finds 6% of admissions involved treatment for psychosis

March 26, 2016

Researchers at the Hilltop Institute at the University of Maryland, Baltimore County (UMBC) report that 6% of hospital admissions involved treatment for psychosis among Maryland residents who were dual eligible in 2012. The report aimed to identify beneficiary use of post-acute care (PAC) services such as skilled nursing, inpatient rehabilitation, nursing facility services, hospice, and home health services. Among the full-benefit dual-eligible beneficiaries analyzed, about 56% had only one hospital stay, 32% had two to three stays, and 12% had four or more hospital stays. Eight percent had no prior services before a hospitalization. Among the 92% who used one or more Medicare and Medicaid pre-stay services on the date of admission or in the seven days prior to an inpatient hospital stay:

  • 16% used Medicaid HCBS;
  • 88% visited an emergency department;
  • 12% had a Medicare inpatient stay;
  • 11% used Medicare skilled nursing facility services;
  • 9% used Medicaid nursing facility services;
  • 3% used Medicare home health services; and
  • Less than 1% used Medicare hospice services.