Factors Predicting Transitions from Medicare-Only to Medicare-Medicaid Enrollee Status. Conclusions


This analysis identified nursing home use (SNF or other nursing home) as an important predictor of MME status, particularly among younger Medicare beneficiaries. Additionally, having both a Medicare-financed SNF stay and a non-SNF stay is an even stronger predictor of MME status. Chronic conditions, particularly related to Alzheimer's or dementia, were also strong predictors. SNF stays, Alzheimer's or dementia, and depression were strongly predictive of entry into nursing home care not covered by the Medicare SNF benefit, the type of care that predicts the transition to dual enrollment in Medicare and Medicaid.


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