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Table 3 Associations between Medicare Advantage penetration and hospital Medicare discharges, Medicare average length of stay, and inpatient revenue

From: Medicare Advantage penetration and the financial distress of rural hospitals

 

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VARIABLES

Log (Medicare Discharges)

Log (Medicare Discharges)

Log (Medicare Discharges)

Medicare Average Length of Stay

Medicare Average Length of Stay

Medicare Average Length of Stay

Log (Inpatient Revenue)

Log (Inpatient Revenue)

Log (Inpatient Revenue)

Log (MA)

0.086***

0.088***

0.091***

−2.543

−2.567

−2.513

0.118***

0.116***

0.112***

(0.023)

(0.023)

(0.023)

(3.892)

(3.919)

(3.894)

(0.024)

(0.024)

(0.024)

Rural in 2014 × Log (MA)

−0.195***

−0.191***

−0.189***

0.176

0.129

0.232

−0.206***

−0.196***

−0.192***

(0.024)

(0.024)

(0.024)

(1.786)

(1.759)

(1.690)

(0.027)

(0.027)

(0.027)

FY2015

0.016***

0.013***

0.009

0.857***

0.883***

0.787***

0.041***

0.038***

0.034***

(0.005)

(0.005)

(0.006)

(0.263)

(0.285)

(0.295)

(0.004)

(0.004)

(0.005)

FY2016

0.003

−0.001

−0.006

1.010**

1.057**

0.830**

0.073***

0.069***

0.063***

(0.006)

(0.007)

(0.008)

(0.397)

(0.443)

(0.358)

(0.005)

(0.005)

(0.007)

FY2017

0.013*

0.007

0.003

1.805

1.869

1.646

0.104***

0.098***

0.089***

(0.007)

(0.007)

(0.009)

(1.530)

(1.601)

(1.579)

(0.006)

(0.007)

(0.008)

FY2018

0.013

0.006

0.001

1.959

2.034

1.701

0.136***

0.128***

0.118***

(0.008)

(0.008)

(0.011)

(1.665)

(1.748)

(1.762)

(0.007)

(0.008)

(0.010)

FY2019

0.004

−0.004

−0.017

1.887

1.971

1.485

0.150***

0.141***

0.129***

(0.009)

(0.009)

(0.015)

(1.844)

(1.938)

(2.005)

(0.009)

(0.009)

(0.013)

FY2020

−0.105***

−0.113***

−0.120***

2.528

2.620

1.506

0.180***

0.170***

0.157***

(0.011)

(0.011)

(0.017)

(2.030)

(2.134)

(2.132)

(0.010)

(0.011)

(0.016)

Density (Population per Square Mile)

 

0.000

0.000

 

−0.000

−0.000

 

0.000

0.000

 

(0.000)

(0.000)

 

(0.000)

(0.000)

 

(0.000)

(0.000)

Population

 

0.000***

0.000***

 

−0.000

−0.000

 

0.000***

0.000***

 

(0.000)

(0.000)

 

(0.000)

(0.000)

 

(0.000)

(0.000)

%Medicare Insurance

  

−0.038

  

52.343*

  

0.174

  

(0.383)

  

(30.994)

  

(0.306)

Age

  

0.006

  

0.169

  

0.005

  

(0.004)

  

(0.132)

  

(0.004)

%Female

  

−0.116

  

−2.654

  

0.227

  

(0.227)

  

(26.818)

  

(0.157)

%Married, Spouse Present

  

−0.097

  

5.398

  

0.114

  

(0.107)

  

(4.234)

  

(0.088)

%Black

  

0.087

  

−3.298

  

−0.376

  

(0.180)

  

(4.818)

  

(0.332)

%Hispanic

  

0.315

  

−12.779

  

0.204

  

(0.232)

  

(15.884)

  

(0.226)

%Other

  

−0.104

  

40.383

  

0.419*

  

(0.294)

  

(30.626)

  

(0.223)

%High School or Above

  

−0.378**

  

−26.457

  

−0.071

  

(0.162)

  

(21.397)

  

(0.134)

%Employed

  

0.096

  

−0.973

  

0.292***

  

(0.091)

  

(4.254)

  

(0.086)

%In Labor Force

  

0.029

  

19.610

  

0.215*

  

(0.129)

  

(17.159)

  

(0.117)

%Federal Poverty Level

  

0.001*

  

0.006

  

−0.000

  

(0.000)

  

(0.026)

  

(0.000)

Household Income

  

0.000*

  

−0.000

  

0.000***

  

(0.000)

  

(0.000)

  

(0.000)

Constant

6.957***

6.714***

6.425***

4.073

6.798**

5.153

17.934***

17.664***

16.862***

(0.027)

(0.074)

(0.280)

(5.535)

(2.898)

(12.145)

(0.026)

(0.086)

(0.311)

Observations

37,663

37,663

37,663

37,663

37,663

37,663

31,000

31,000

31,000

R-squared

0.024

0.025

0.025

0.000

0.000

0.001

0.074

0.077

0.079

Hospital FE

Y

Y

Y

Y

Y

Y

Y

Y

Y

FY FE

Y

Y

Y

Y

Y

Y

Y

Y

Y

  1. Standard errors clustered at the hospital level in parentheses
  2. Abbreviations: FE fixed effects, FY fiscal year, MA Medicare Advantage
  3. *** p < 0.01, ** p < 0.05, * p < 0.1