National Healthcare Disparities Report - LDI Health Economist

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Health System Infrastructure Table 8.1. Medicaid and uninsured discharges and aggregate hospital costs, by facility characteristics, U.S. short-term acute hospitals, 2009 Discharges % (Standard Error) Aggregate Costs % (Standard Error) Chapter 8 All Hospitals 26.4 (0.8) 20.3 (0.8) Bed Size a Small 22.5 (1.6) 16.8 (1.5) Medium 27.7 (1.4) 22.0 (1.7) Large 26.6 (1.1) 20.3 (1.0) Control Government 39.6 (3.3) 32.6 (3.7) Private nonprofit 23.3 (0.7) 17.9 (0.7) Private, investor owned 29.3 (1.6) 20.7 (1.4) Teaching Facility Yes 29.7 (1.6) 23.7 (1.5) No 23.5 (0.6) 16.3 (0.5) Region Northeast 26.2 (2.5) 20.8 (2.2) Midwest 21.0 (1.0) 15.7 (1.0) South 27.7 (1.2) 20.7 (1.4) West 30.5 (2.0) 23.7 (1.7) Location Metropolitan 26.5 (0.9) 20.5 (0.9) Nonmetropolitan 25.8 (0.6) 17.4 (0.4) a Bed size categories used in HCUPnet are based on hospital beds and are specific to the hospital’s location and teaching status. The definitions of small, medium, and large vary by region: Region Location and Teaching Status Hospital Bed Size Small Medium Large Northeast Rural 1-49 50-99 100+ Urban, nonteaching 1-124 125-199 200+ Urban, teaching 1-249 250-424 425+ Midwest Rural 1-29 30-49 50+ Urban, nonteaching 1-74 75-174 175+ Urban, teaching 1-249 250-374 375+ South Rural 1-39 40-74 75+ Urban, nonteaching 1-99 100-199 200+ Urban, teaching 1-249 250-449 450+ West Rural 1-24 25-44 45+ Urban, nonteaching 1-99 100-174 175+ Urban, teaching 1-199 200-324 325+ Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, HCUPnet, 2009. Available at http://hcupnet.ahrq.gov/. 216 National Healthcare Disparities Report, 2011
Health System Infrastructure n Discharge percentage: o The percentage of Medicaid and uninsured patients discharged from government hospitals was significantly higher than from private hospitals. Compared with private nonprofit hospitals, a greater percentage of patients discharged from investor-owned hospitals was covered by Medicaid or uninsured. o Nearly 30 percent of patients discharged from teaching hospitals were uninsured or covered by Medicaid, compared with about 24 percent of patients in nonteaching facilities. o Although the difference in percentage of Medicaid and uninsured discharges was statistically significant between metropolitan and nonmetropolitan hospitals, regional differences were noted. Hospitals in western States discharged a greater proportion of Medicaid and uninsured patients (31%), while hospitals in the Midwest discharged the lowest percentage of patients (21%). n Aggregate costs: o Nearly one-third of government hospitals’ patient care costs were associated with the Medicaid and uninsured population; about one-fifth of costs for private nonprofit hospitals was associated with this population. o Among hospitals in the West, Medicaid and uninsured patients accounted for about 24 percent of inpatient costs compared with 16 percent among hospitals in the Midwest. Chapter 8 National Healthcare Disparities Report, 2011 217
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NATIONAL HEALTHCARE DISPARITIES REP
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