Analyses of the Medicare Medicaid Linked Claims to Support Integrated Care

The goals of this project are to link Medicare and Medicaid eligibility and claim files in order to describe for the Michigan Medical Services Administration the impact of accumulated Chronic Conditions on the use of inpatient, outpatient services and nursing home stays. A novel feature of these analyses will be the examination of transitions among different locations of care. The associations among patterns of transition care e.g., skilled home care, skilled nursing facility vs. no formal care following hospital discharge and rates of re-admissions to hospitals and permanent residence in nursing homes and the costs of care associated with the different patterns will be described.