State Medicaid Bed-Hold Policies and Hospitalizations and ED Visits Among Long-Stay Nursing Home Residents

Are state Medicaid bed-hold policies associated with hospitalizations and emergency department visits among nursing home residents receiving long-term care?In this cohort study of 219 719 long-stay nursing home residents, states’ adoption of Medicaid bed-hold policies was not associated with the likelihood of these residents experiencing hospitalization or an emergency department visit.These findings suggest that bed-hold policies may enhance the continuity of nursing home care without adversely affecting the likelihood of hospital transfers among long-stay residents.

Corresponding Author: Mark Aaron Unruh, PhD, Department of Population Health Sciences, Joan and Sanford I. Weill College of Medicine, Cornell University, 575 Lexington Ave, 6F, New York, NY 10022 (mau2006@med.cornell.edu).

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