Nursing Home Medicare Spending & Discharge Rates Vary Widely by Dual Enrollment Status, Race

Medicare spending and discharge rates among skilled nursing facilities (SNFs) across the U.S. varies widely, particularly for residents who qualify for both Medicaid and Medicare (dual-eligibles). Dual-eligibles and non-White health care consumers often experience worse outcomes compared to their non-dual and White counterparts. The national average rates for successful discharges to the community (DTC) and Medicare spending per beneficiary (MSPB) were notably poorer for dual-eligibles and non-White consumers across most post-acute care settings. In SNFs, these disparities were more pronounced, with outcomes worsening as the proportion of dual-eligibles and non-White . . .