Type of insurance affects rehabilitation
Categories: Costs and Insurance
Does insurance type determine where one is placed for rehabilitation after traumatic brain injury (TBI)?
Past Studies found that economics and insurance coverage played a role in discharge decisions after stroke.
This Study: looked at 1271 people with brain injuries who were admitted to the King County Hospital in Washington State who were discharged to either a rehabilitation facility or to a nursing home. All of these individuals had insurance of one of the following types: fee for service (332), Managed Care (224) or Medicaid (715). Regardless of
Who May Be Affected By This Study
People requiring inpatient rehabilitation services after discharge from a hospital.
While Managed Care patients were 23% more likely to be discharged to a nursing home than to a rehabilitation facility, the difference was not statistically significant. Because states administer their Medicaid programs differently, the same research may have different results in different states. In addition, these data are from a single hospital in a single state and the results might be different elsewhere.
If decisions about rehabilitation placement are being made on the basis of economics rather than client needs, care may be negatively affected. More studies need to be done to determine if this occurs in other states and hospitals. Studies also need to be done to determine if placement has any effect on the
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Find This Study
Chan, Leighton; Doctor, Jason; Temkin, Nancy; MacLehose, Richard F.; Esselman, Peter; Bell, Kathleen; and Dikmen, Sureyya. “Discharge Disposition From Acute Care After Traumatic