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Association of Chronic Condition Special Needs Plan With Hospitalization and Mortality Among Patients With End-Stage Kidney Disease
Author(s) -
Bryan N. Becker,
Jiacong Luo,
Kathryn S. Gray,
Carey Colson,
Dena E. Cohen,
Stephen E. McMurray,
Bryan Gregory,
Nathan Lohmeyer,
Steven M. Brunelli
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.23663
Subject(s) - medicine , kidney disease , dialysis , cohort , renal replacement therapy , quality of life (healthcare) , diabetes mellitus , emergency medicine , intensive care medicine , nursing , endocrinology
Key Points Question Is enrollment in a chronic condition special needs plan (C-SNP) associated with improved outcomes in patients with end-stage kidney disease (ESKD)? Findings In this cohort study of 2545 C-SNP enrollees matched at the facility level to patients not enrolled in C-SNP and 1986 C-SNP enrollees matched at the county level to patients not enrolled in C-SNP, C-SNP enrollees had significantly lower hospitalization rates and mortality risk than matched patients who were not enrolled in a C-SNP. Meaning The findings of this study suggest that enrollment in a C-SNP may improve outcomes compared with standard care for patients with ESKD.

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