Skip to main content
Journal cover image

Differences in Hospital Readmission Risk across All Payer Groups in South Carolina.

Publication ,  Journal Article
Chakraborty, H; Axon, RN; Brittingham, J; Lyons, GR; Cole, L; Turley, CB
Published in: Health Serv Res
June 2017

OBJECTIVE: To evaluate differences in hospital readmission risk across all payers in South Carolina (SC). DATA SOURCES/STUDY SETTING: South Carolina Revenue and Fiscal Affairs Office (SCRFA) statewide all payer claims database including 2,476,431 hospitalizations in SC acute care hospitals between 2008 and 2014. STUDY DESIGN: We compared the odds of unplanned all-cause 30-day readmission for private insurance, Medicare, Medicaid, uninsured, and other payers and examined interaction effects between payer and index admission characteristics using generalized estimating equations. DATA COLLECTION: SCRFA receives claims and administrative health care data from all SC health care facilities in accordance with SC state law. PRINCIPAL FINDINGS: Odds of readmission were lower for females compared to males in private, Medicare, and Medicaid payers. African Americans had higher odds of readmission compared to whites across private insurance, Medicare, and Medicaid, but they had lower odds among the uninsured. Longer length of stay had the strongest association with readmission for private and other payers, whereas an increased number of comorbidities related to the highest readmission odds within Medicaid. CONCLUSIONS: Associations between index admission characteristics and readmission likelihood varied significantly with payer. Findings should guide the development of payer-specific quality improvement programs.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Health Serv Res

DOI

EISSN

1475-6773

Publication Date

June 2017

Volume

52

Issue

3

Start / End Page

1040 / 1060

Location

United States

Related Subject Headings

  • United States
  • South Carolina
  • Sex Factors
  • Risk Factors
  • Retrospective Studies
  • Patient Readmission
  • Middle Aged
  • Medicare
  • Medically Uninsured
  • Medicaid
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Chakraborty, H., Axon, R. N., Brittingham, J., Lyons, G. R., Cole, L., & Turley, C. B. (2017). Differences in Hospital Readmission Risk across All Payer Groups in South Carolina. Health Serv Res, 52(3), 1040–1060. https://doi.org/10.1111/1475-6773.12579
Chakraborty, Hrishikesh, Robert Neal Axon, Jordan Brittingham, Genevieve Ray Lyons, Laura Cole, and Christine B. Turley. “Differences in Hospital Readmission Risk across All Payer Groups in South Carolina.Health Serv Res 52, no. 3 (June 2017): 1040–60. https://doi.org/10.1111/1475-6773.12579.
Chakraborty H, Axon RN, Brittingham J, Lyons GR, Cole L, Turley CB. Differences in Hospital Readmission Risk across All Payer Groups in South Carolina. Health Serv Res. 2017 Jun;52(3):1040–60.
Chakraborty, Hrishikesh, et al. “Differences in Hospital Readmission Risk across All Payer Groups in South Carolina.Health Serv Res, vol. 52, no. 3, June 2017, pp. 1040–60. Pubmed, doi:10.1111/1475-6773.12579.
Chakraborty H, Axon RN, Brittingham J, Lyons GR, Cole L, Turley CB. Differences in Hospital Readmission Risk across All Payer Groups in South Carolina. Health Serv Res. 2017 Jun;52(3):1040–1060.
Journal cover image

Published In

Health Serv Res

DOI

EISSN

1475-6773

Publication Date

June 2017

Volume

52

Issue

3

Start / End Page

1040 / 1060

Location

United States

Related Subject Headings

  • United States
  • South Carolina
  • Sex Factors
  • Risk Factors
  • Retrospective Studies
  • Patient Readmission
  • Middle Aged
  • Medicare
  • Medically Uninsured
  • Medicaid