Association of Dual Eligibility and Medicare Type With Quality of Postacute Care After Stroke

Are there differences by Medicare type and dual eligibility status associated with discharge to quality postacute care settings for patients with stroke?In this cohort study of 44 078 older patients hospitalized for stroke, dual-eligible beneficiaries in Medicare fee-for-service (FFS) plans, non–dual-eligible beneficiaries in Medicare Advantage (MA) plans, and dual-eligible beneficiaries in MA plans had a lower likelihood of discharge to high-quality nursing homes compared with non–dual-eligible beneficiaries in FFS Medicare plans.This study suggests that dual-eligible and MA beneficiaries with stroke experience disparities in receiving high-quality postacute care; improving awareness of postacute care facility quality ratings among patients, caregivers, and discharge planners, along with having high-quality facilities in the MA plan network, can help reduce these disparities.

Corresponding Author: Amit Kumar, PhD, MPH, Department of Physical Therapy amleein@icloud.com).

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