From: Expelled uninsured patients in a less-competitive hospital market in Florida, USA
Principal payer | |||||||
---|---|---|---|---|---|---|---|
Total | Medicare | Medicare managed care | Medicaid | Medicaid managed care | Commercial health insurance | Uninsured | |
IRR (SE)a | IRR (SE)a | IRR (SE)a | IRR (SE)a | IRR (SE)a | IRR (SE)a | IRR (SE)b | |
Total HHI | .17 (.31) | ||||||
Medicare HHI | .02** (.03) | ||||||
Medicare Managed Care HHI | .02 (.06) | ||||||
Medicaid HHI | 1.17 (2.80) | ||||||
Medicaid Managed Care HHI | .17 (.47) | ||||||
Commercial Health Insurance HHI | 3.04 (5.89) | ||||||
Uninsured HHI | 594.82** (1570.31) | ||||||
For Profit (0 = Public) | 2.94* (1.64) | 3.98* (3.08) | 1.14 (.81) | 1.97 (1.75) | .49 (.46) | 2.36 (1.73) | 2.63 (2.68) |
Non-profit (0 = Public) | 1.82 (.99) | 3.01 (2.26) | .71 (.48) | 1.34 (1.10) | 1.13 (.99) | 2.51 (1.68) | .35 (.34) |
Teaching (0 = Non-teaching) | .27* (.20) | 1.29 (1.14) | 4.87** (3.43) | .24 (.24) | .23 (.29) | .76 (.55) | 13.69*** (7.78) |
Rural (0 = Urban) | 1.67 (.98) | 6.89*** (4.74) | 1.23 (1.48) | 1.12 (1.45) | .00 (.00) | .00 (.00) | .00 (.00) |
CMI | 215.18*** (277.66) | 534.67*** (811.82) | 45.72** (74.87) | 96.77** (197.13) | 35.79 (77.84) | 40.34*** (55.12) | 303.1** (680.84) |
ln(Total # of Discharges) | 1.0001*** (.00) | 1.0001*** (.00) | 1.00004*** (.00) | 1.0001*** (.00) | 1.00004** (.00) | 1.00005*** (.00) | 1.0001*** (.00) |
Average Length of Stay | 2.84** (1.30) | 2.63* (1.41) | 1.48 (.84) | 1.37 (.89) | 5.33* (4.58) | 2.52* (1.23) | 6.47*** (4.44) |
Occupancy Rate | 1.01 (.01) | 1.02* (.01) | 1.01 (.01) | .99 (.01) | 1.01 (.02) | 1.00 (.01) | 1.03 (.02) |
(Revenue per Adjusted Admission) – (Cost per Adjusted Admission) | .99 (.00) | .99*** (.00) | .99** (.00) | 1.00 (.00) | .99 (.00) | .99 (.00) | .99** (.00) |
Overdispersion Parameter | 2.14*** (.34) | 1.90*** (.48) | .65** (.46) | 3.49*** (.90) | 1.85*** (1.07) | 1.44*** (.41) | |
Model χ 2 | 85.95 | 69.41 | 45.63 | 54.25 | 29.43 | 67.88 | 121.66 |
df | 10c | 10c | 10c | 10c | 10c | 10c | 10c |
Pseudo R 2 | .11 | .15 | .20 | .14 | .18 | .17 | .57 |
N | 155 | 155 | 153 | 155 | 146 | 155 | 155 |