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[(as)-222(ha)19.7(vi)20.7(ng)-221.1(mu)19.6(lt)20.6(ip)20.7(le)-222.4(ch)19.7(ro)20.9(ni)20.7(c)-232.6(o)0(r)-221(c)0(a)18.5(t)0(a)19.6(s)0(t)20.9(r)0(o)20.9(p)0(h)15.1(i)0(c)-216.6(c)0(o)19.7(n)0(d)15.1(i)0(t)20.6(i)0(o)20.7(n)0(s)-220.9(b)0(y)-221.1(3)0(M)19.9()0(s)]TJ
0 -1.1174 TD
[(Ag)20(gr)20.9(eg)13.9(at)19.5(ed)-539(Cl)19.7(in)20.7(ic)19.6(al)-539.1(Ri)19.7(sk)-537.7(Gr)20(ou)20.8(p)]TJ
7.3823 0 0 6.5614 196.3842 104.8819 Tm
(9)Tj
9.843 0 0 9.843 205.5117 100.4598 Tm
[(cl)19.5(as)19.9(si)20.9(c)19.8(at)19.5(io)15(n)-542.5(s)0(y)15.3(s)0(t)20.9(e)0(m)-540.2(i)0(n)]TJ
-14.5778 -1.1116 TD
[(an)19.7(al)19.5(ys)15.3(is)-347.7(of)-353.5(al)19.5(l)-358.3(M)0(e)18.8(d)0(i)20.7(c)0(a)12.8(i)0(d)-347.9(c)0(l)19.5(a)0(i)19.5(m)0(s)-354.6(h)0(i)20.7(s)0(t)20.9(o)0(r)20.9(y)-364(20)20.8(10)20.8(2)20.8(01)20.8(2.)-350.1(El)19.5(ig)15(ib)20.7(le)]TJ
T*
[(di)20.7(sc)19.9(ha)13.9(rg)20.9(es)-383.3(ex)19.7(cl)19.5(ud)20.8(ed)-383.5(ob)20.8(st)20.9(et)13.8(ri)20.7(c)-393.9(a)0(n)19.7(d)-392.8(ne)19.7(wb)20(or)20.9(n)-392.8(h)0(o)20.8(s)0(p)21(i)0(t)20.6(a)0(l)13.8(i)0(z)19.6(a)0(t)19.6(i)0(o)20.7(n)0(s)21(,)]TJ
0 -1.1174 TD
[(an)19.7(d)-415.8(r)0(e)19.7(q)0(u)20.8(i)0(r)20.7(e)0(d)-406.5(t)0(h)20.7(a)0(t)-400.9(t)0(h)20.7(e)-417(pa)19.7(ti)20.6(en)19.7(t)-415.9(w)0(a)18.8(s)-409.8(di)14.9(sc)19.9(ha)19.7(rg)20.9(ed)-406.5(to)-399.7(ho)20.8(me)-407.8(wi)19.8(th)]TJ
0 -1.1116 TD
[(ei)19.5(th)20.7(er)-314.4(se)14.1(lf)20.7(-c)19.7(ar)19.7(e)-324.8(o)0(r)-313.2(h)0(o)20.8(m)0(e)-315.6(h)0(e)19.7(a)0(l)19.5(t)0(h)-313.3(s)0(e)19.9(r)0(v)20.9(i)0(c)19.6(e)0(s)14.1(.)]TJ
26.5177 67.9184 TD
[(There)-521.6(were)-520.2(120,039)-516.9(discharges)-521.1(meeting)-518.4(these)-520.4(criteria.)]TJ
-1.0137 -1.1174 TD
[(For)-371.7(patients)-368.4(having)-370.8(more)-363.9(than)-368.6(1)-369.7(eligible)-368.8(discharge,)-368.1(the)-367.5(re-)]TJ
0 -1.1116 TD
[(searchers)-538.2(selected)-537.7(the)-534.5(rst)-534(discharge)-537.4(and)-534.4(additional)-538(dis-)]TJ
T*
[(charges)-293.2(that)-282.3(were)-289.8(at)-285.7(least)-290.1(90)-284.4(days)-287.6(apart.)-287.8(This)-282(resulted)-287.6(in)-290.3(the)]TJ
T*
[(selection)-359.2(of)-353.5(86,462)-348.8(index)-352.4(discharges.)-357.5(Of)-348.6(these,)-356.8(53,197)-354.5(dis-)]TJ
0 -1.1174 TD
[(charges)-391.1(were)-387.7(for)-383.4(individuals)-388(enrolled)-385.7(in)-382.5(CCNC)-388.5(and)-384.6(there-)]TJ
0 -1.1116 TD
[(fore)-305(eligible)-299.6(to)-296.1(receive)-306.2(the)-298.3(transitional)-298.2(care)-301.6(intervention.)-301.7(Of)]TJ
T*
[(these,)-316.5(38,904)-308.4(discharges)-319.5(received)-313.1(some)-311.9(form)-310.8(of)-313.2(transitional)]TJ
0 -1.1174 TD
[(care)-491.7(support)-491.4(by)-486(a)-486.1(CCNC)-492.2(staff)-484.6(member.)-492.9(\(Components)-487.8(of)]TJ
0 -1.1116 TD
[(the)-384.7(CCNC)-388.5(transitional)-390.4(care)-388(management)-386.9(program,)-387.9(and)-384.6(the)]TJ
T*
[(frequency)-664.2(with)-662.1(which)-658.5(specic)-661.8(component)-658.7(interventions)]TJ
0 -1.1174 TD
[(were)-428(delivered)-428.3(during)-427.2(the)-419.3(time)-427.5(period)-428.3(of)-422.6(this)-424.9(study,)-423.6(have)]TJ
0 -1.1116 TD
[(been)-335(described)-335.8(previously.)]TJ
7.3823 0 0 6.5614 420.1511 597.9967 Tm
(6)Tj
9.843 0 0 9.843 423.8928 593.6313 Tm
[(\))-329.4(For)-331.4(the)-327.1(present)-332.5(analy)-8(sis,)-329(these)]TJ
-11.2602 -1.1116 TD
[(discharges)-428.9(were)-428(divided)-423.8(into)-419.4(2)-421.6(mutually)-426.3(exclusive)-428.2(groups)]TJ
T*
[(based)-307.1(on)-307.5(the)-304.1(type)-305.2(of)-301.7(transitional)-309.7(care)-307.4(received.)-310.7(The)-305.2()50.8(Home)]TJ
0 -1.1174 TD
[(Visit)44.2()-392.7(group)-397.1(\(N)]TJ
/F5 1 Tf
6.9059 0 TD
(=)Tj
/F4 1 Tf
.72 0 TD
[(7468\))-397.1(comprised)-393.5(those)-398.3(who)-395.8(received)-393.7(an)]TJ
-7.6258 -1.1116 TD
[(in-per)-7.8(son)-308.4(visit)-311(any)-309.7(time)-312.3(between)-317.5(the)-309.9(date)-312.1(of)-313.2(their)-312.2(index)-312.1(ad-)]TJ
T*
[(mission)-342.9(and)-338.5(30)-336.3(days)-333.7(post)-338.4(discharge)-341.6(or)-336.2(readmission)-343.8(if)-336.4(read-)]TJ
0 -1.1174 TD
[(mitted)-308.9(within)-301.6(30)-307.5(days.)-302.6(Patients)-304.9(who)-303.7(did)-302.9(not)-302.9(receive)-312(a)-301.8(home)]TJ
0 -1.1116 TD
[(visit)-322.5(but)-314.5(did)-320.2(receive)-323.5(less)-316.3(intensive)-323.5(transitional)-321.2(care)-318.9(services)]TJ
T*
[(comprised)-272.6(the)-269.5()50.8(Other)-273.7(Transitional)-270.5(Care)43()-266(comparison)-273.7(group)]TJ
0 -1.1174 TD
(\(N)Tj
/F5 1 Tf
1.2211 0 TD
(=)Tj
/F4 1 Tf
.72 0 TD
[(27,706\).)-514.5(Index)-519.2(discharges)-521.1(for)-515.9(patients)-518.2(who)-516.8(received)]TJ
-1.941 -1.1116 TD
[(care)-295.8(management)-294.7(services)-294.2(initiated)-295.1(between)-294.4(30)-290.2(and)-292.4(90)-290.2(days)]TJ
T*
[(post)-465.1(discharge,)-471.8(and)-465.2(those)-461.6(whose)-468.1(initial)-464.5(care)-468.6(management)]TJ
0 -1.1174 TD
[(servic)-8.8(e)-399.7(occurred)-403.9(within)-405.3(30)-399.6(days)-402.8(after)-399.6(a)-405.4(readmission,)-404.9(were)]TJ
0 -1.1116 TD
[(exclu)-8(ded)-332.8(from)-333.9(all)-333(analyses)-340.3(\(N)]TJ
/F5 1 Tf
12.5331 0 TD
(=)Tj
/F4 1 Tf
.72 0 TD
(3730\).)Tj
-12.2394 -1.1116 TD
[(The)-334(primary)-338.5(outcome)-333.9(of)-330.5(interest)-339.6(was)-333.4(readmission)-338.1(within)]TJ
-1.0137 -1.1116 TD
[(30)-457.2(days)-454.6(of)-457.2(the)-453.8(index)-456.1(discharge,)-460.2(identied)-456(in)-457.3(claims)-459.5(with)]TJ
0 -1.1174 TD
[(dates)-359.1(of)-347.7(service)-356.7(through)-353.4(March)-348.5(31,)-351.2(2013,)-353.4(paid)-351.3(by)-353.5(June)-351(30,)]TJ
0 -1.1116 TD
[(2013.)-290.1(Readmissions)-294(on)-290.2(the)-292.6(same)-290(day)-292.4(as)-291.2(the)-286.8(index)-294.8(discharge)]TJ
T*
[(and)-476.8(those)-473.1(for)-475.5(obstetrics)-474.1(or)-474.5(newborn)-476.3(were)-474.1(excluded.)-476.6(Sec-)]TJ
0 -1.1174 TD
[(ondary)-393.6(outcomes)-392.4(were)-387.7(total)-393(inpatient)-387.1(admissions)-393.2(and)-390.4(total)]TJ
0 -1.1116 TD
[(Medicaid)-468.5(costs)-461.4(per)-459.4(member)-460.6(per)-459.4(month)-461.9(over)-460.6(the)-459.6(6-month)]TJ
T*
[(period)-336.2(following)-339.5(index)-335.1(discharge.)]TJ
1.0137 -1.1174 TD
[(For)-268.1(assessment)-274.3(of)-267.1(these)-272.7(outcomes,)-269.2(patients)-270.5(were)-266.8(stratied)]TJ
-1.0137 -1.1116 TD
[(into)-407.8(6)-404.3(categories)-407.4(of)-405.3(readmission)-407.2(risk)-401.7(associated)-413(with)-403(their)]TJ
T*
[(Clinical)-404.4(Risk)-397(Group)-398(\(CRG\).)-403.5(Developed)-400.3(by)-393.9(3M)-400.5(Health)-396(In-)]TJ
T*
[(forma)-7.8(tion)-246.6(Systems,)-249.3(CRGs)-254.8(use)-246.2(a)-249.9(hierarchical)-255.5(model)-249.9(to)-250(assign)]TJ
0 -1.1174 TD
[(patients)-362.7(into)-350.2(1)-358.2(o)0(f)-353.5(1075)-350(mutually)-357.2(exclusive)-359.1(CRGs)-358.5(based)-353.2(on)]TJ
0 -1.1116 TD
[(historical)-318.9(claims)-315.5(data.)-309.8(The)-310.9(average)-317.6(90-day)-313(readmission)-315(rate)]TJ
T*
[(among)-393.8(patients)-397.2(in)-388.2(each)-393.8(of)-393.8(the)-390.5(1075)-165.7(CRGs)-398.8(during)-386.8(a)-393.9(5-year)]TJ
0 -1.1174 TD
[(period)-393.8(determined)-390.3(the)-390.5(expected)-393.7(readmission)-389.9(rate)-392.7(for)-389.1(study)]TJ
0 -1.1116 TD
[(patients)-477.9(within)-468.6(the)-471.1(same)-474.3(CRG.)-470.5(Further)-475.3(details)-471(about)-473.3(this)]TJ
T*
[(methodolog)-7.9(y)-329.4(have)-335(been)-335(described)-341.6(previously.)]TJ
7.3823 0 0 6.5614 497.5369 258.2928 Tm
(8)Tj
/F9 1 Tf
8.9663 0 0 8.9663 313.0582 226.4881 Tm
[(Data)-337.7(sources)-330.1(and)-335.7(control)-331.5(variables)]TJ
/F4 1 Tf
9.843 0 0 9.843 323.0361 210.0472 Tm
[(Data)-474.3(regarding)-478.8(patient)-471.2(demographic)-477.7(characteristics)-484.3(and)]TJ
-1.0137 -1.1116 TD
[(enrollment)-412.4(in)-405.5(Medicare,)-409.6(Medicaid,)-408.6(and)-401.9(CCNC)-411.6(came)-406.5(from)]TJ
T*
[(the)-269.5(North)-259.9(Carolina)-271.6(Medicaid)-266.9(eligibility)-261.9(and)-263.6(enrollment)-268.4(les.)]TJ
T*
[(Costs,)-568.4(utilization,)-565.8(pharmacy)-566.4(lls,)-560.7(clinical)-565.8(characteristics,)]TJ
0 -1.1174 TD
[(and)-298.2(medical)-294.9(history)-295.7(measures)-295.3(were)-295.6(derived)-298.1(from)-293.5(paid)-293.7(Med-)]TJ
0 -1.1116 TD
[(icaid)-572.5(claims.)-566.6(Information)-567.6(regarding)-571(the)-569(transitional)-568.9(care)]TJ
T*
[(interventio)-9.2(n)-375.5(was)-385.3(recorded)-380.9(according)-382.1(to)-382.5(standardized)-386.5(docu-)]TJ
0 -1.1174 TD
[(mentation)-543.8(protocols)-541(in)-538(CCNCs)-540.3(care)-543.5(management)-542.4(infor-)]TJ
0 -1.1116 TD
[(mation)-337.6(system.)]TJ
1.0137 -1.1116 TD
[(Covariates)-562.7(were)-560.5(selected)-560.7(based)-560.6(on)-555.1(known)-559.3(association)]TJ
-1.0137 -1.1174 TD
[(with)-420.2(likelihood)-415.9(of)-411.1(readmission)-418.7(and/or)-416.8(targeting)-415.8(for)-412.2(transi-)]TJ
0 -1.1116 TD
[(tional)-434.4(care.)-431.8(A)-428.2(description)-435.1(of)-428.4(the)-430.8(covariates)-436.2(and)-430.7(how)-430.4(they)]TJ
T*
[(were)-347.4(dened)-337.1(is)-341.9(shown)-340.3(in)-336.4(Table)-343.2(1.)-338.6(Several)-345.2(continuous)-340.6(clin-)]TJ
0 -1.1174 TD
[(ical)-254.7(measures)-249.3(were)-255.2(categorized)-254.3(based)-249.5(on)-249.9(their)-248.8(distribution)-249.8(in)]TJ
0 -1.1116 TD
[(association)-441.8(with)-431.8(having)-434.1(a)-434.2(home)-433(visit)-437.7(in)-428.5(order)-438.6(to)-428.5(improve)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 62.022 749.6502 Tm
(2)Tj
46.2331 0 TD
[(JACKSON)-332.8(ET)-338.7(AL.)]TJ
ET
endstream
endobj
55 0 obj
<>stream
/GS1 gs
BT
/F4 1 Tf
9.843 0 0 9.843 59.7543 270.4818 Tm
0 0 0 rg
0 Tc
0 Tw
[(statistical)-494(control)-492.9(of)-486(differences)-494.7(between)-490.3(the)-488.4(intervention)]TJ
0 -1.1116 TD
(groups.)Tj
/F9 1 Tf
8.9663 0 0 8.9663 59.7543 237.6566 Tm
[(Statistical)-336.1(analysis)]TJ
/F4 1 Tf
9.843 0 0 9.843 69.7323 221.2157 Tm
[(The)-276.4(Home)-272.6(Visit)-271.5(and)-275.2(Other)-272.6(Transitional)-276.2(Care)-272.7(groups)-277.1(were)]TJ
-1.0137 -1.1174 TD
[(compared)-434(on)-422.7(all)-425.2(covariates)-430.4(using)-425.9(logistic)-430.8(regression,)-431.2(with)]TJ
0 -1.1116 TD
[(Home)-445.4(Visit)-444.3(vs.)-443.2(Other)-445.4(Transitional)-449(Care)-445.5(as)-440.9(the)-448.1(dependent)]TJ
T*
[(variable)-358.1(and)-350(each)-353.5(covariate)-360.4(as)-348.8(the)-355.9(single)-353.4(independent)-355.7(vari-)]TJ
0 -1.1174 TD
[(able.)-494.1(Logistic)-495.2(regression)-496.8(also)-495.1(was)-494.7(used)-494.9(to)-491.9(estimate)-491.8(odds)]TJ
0 -1.1116 TD
[(ratios)-405.2(\(ORs\))-398.8(for)-400.7(the)-396.3(Home)-399.3(Visit)-398.2(compared)-405.2(to)-399.7(Other)-399.3(Tran-)]TJ
T*
[(sitional)-517.2(Care,)-518(with)-512.4(30-day)-514.6(readmission)-516.6(as)-515.8(the)-517.2(dependent)]TJ
0 -1.1174 TD
[(variable,)-257.9(controlling)-249.9(for)-250.9(patient)-252.3(demographic)-253.1(characteristics,)]TJ
0 -1.1116 TD
[(patient)-551.8(medical)-554.1(history,)-552.6(and)-545.9(characteris)-12.2(tics)-547(of)-549.3(the)-551.8(index)]TJ
T*
[(hospitalization.)-605.8(All)-591.9(analyses)-599.5(account)-598.8(for)-596.5(the)-597.8(correlation)]TJ
T*
[(among)-549.3(discharges)-555.6(for)-544.6(the)-551.8(same)-549.2(client)-550.7(using)-546.9(generalized)]TJ
0 -1.1174 TD
[(estimating)-464.2(equations,)-459.2(specifying)-462.6(an)-458.4(exchangeable)-463.8(correla-)]TJ
0 -1.1116 TD
[(tion)-396.3(matrix)-395.1(to)-394(obtain)-399.7(robust)-392.4(parameter)-401.8(estimates)-400.5(and)-396.1(stan-)]TJ
T*
[(dard)-339.6(errors.)]TJ
1.0137 -1.1174 TD
[(Secondary)-370.3(analyses)-369.1(examined)-370.8(the)-367.5(incremental)-369.7(impact)-367.5(of)]TJ
-1.0137 -1.1116 TD
[(a)-353.6(home)-358.1(visit)-351.3(on)-353.5(number)-354.6(of)-353.5(inpatient)-358.3(admissions)-352.9(during)-352.3(the)]TJ
25.5097 21.7083 TD
[(6-month)-406.5(follow-up)-414.2(period)-411(using)-408.6(negative)-415.7(binomial)-409(regres-)]TJ
0 -1.1116 TD
[(sion,)-267(and)-263.7(total)-266.2(Medicaid)-272.7(costs)-265.6(using)-264.6(linear)-268.3(regression.)-269.9(These)]TJ
T*
[(analyses)-363.4(were)-358.9(limited)-362(to)-359.4(the)-361.7(rst)-355.5(index)-363.9(admission)-357.8(for)-360.3(each)]TJ
T*
[(patient.)-376.7(Both)-379.9(models)-377.6(controlled)-382.3(for)-377.6(the)-379(same)-382.1(covariates)-384.3(as)]TJ
0 -1.1174 TD
[(the)-523(primary)-522.8(analysis.)-521.3(Both)-523.9(outcome)-524(variables)-520.3(were)-525.9(con-)]TJ
0 -1.1116 TD
[(verted)-291.3(to)-284.5(an)-291.4(average)-294.6(per)-286.7(month)-289.1(based)-289.9(on)-290.2(number)-291.2(of)-290.1(eligible)]TJ
T*
[(months)-434(during)-438.7(the)-436.6(6-month)-435.3(follow-up)-437.2(period.)-437.5(Total)-440.1(Med-)]TJ
0 -1.1174 TD
[(icaid)-503.4(costs)-501.7(were)-502.9(log-transformed)-509.6(in)-497.7(the)-505.7(linear)-504.5(regression)]TJ
0 -1.1116 TD
[(model.)-426.2(All)-419.1(analyses)-426.7(were)-428(conducted)-428.2(using)-420.1(SAS)-424.3(9.2)-426.1(\(SAS)]TJ
T*
[(Institute,)-337.3(Inc.,)-333.8(Cary,)-332.5(North)-334.8(Carolina\).)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 310.8472 149.9527 Tm
(Results)Tj
/F4 1 Tf
9.843 0 0 9.843 320.8251 133.5118 Tm
[(There)-262.4(were)-261(a)-261.4(total)-260.5(of)-261.4(35,174)-262.4(qualifying)-260.2(discharges)-261.9(among)]TJ
-1.0137 -1.1116 TD
[(26,647)-250.8(patients)-253.2(who)-251.8(received)-255.5(CCNC)-256(transitional)-252.1(care)-255.5(during)]TJ
T*
[(the)-281.1(study)-281.9(period.)-282(Transitional)-282(care)-284.3(included)-282.1(a)-278.7(home)-283.3(visit)-282.2(for)]TJ
0 -1.1174 TD
[(7468)-384.5(of)-388.1(these)-393.7(discharges.)-392(Table)-389.3(2)-387(describes)-393.3(the)-384.7(sampl)-7.8(e)-388.2(o)0(f)]TJ
0 -1.1116 TD
[(discharges,)-322.9(overall)-327.1(and)-321.2(by)-319(treatment)-326(group)-322.3(\(Home)-325.5(Visit)-323.4(vs.)]TJ
T*
[(Other)-554.8(Transitional)-558.5(Care\).)-559.4(The)-558.6(2)-554(groups)-553.6(differ)-555(on)-555.1(many)]TJ
0 -1.1174 TD
[(characteristics,)-579.9(with)-575.7(those)-576.8(receiving)-578.1(a)-578.2(home)-571.2(visit)-575.9(being)]TJ
0 -1.1116 TD
[(older,)-269.4(more)-266(likely)-273.1(to)-267.3(be)-268.3(female,)-274(and)-269.4(more)-266(likely)-273.1(to)-267.3(be)-268.3(black.)]TJ
ET
59.754 719.49 490.167 .22668 re
f
59.754 323.376 490.167 .22678 re
f
59.754 700.781 490.167 .22681 re
f
BT
/F8 1 Tf
9.845 0 0 9.845 224.9007 725.1588 Tm
(Table)Tj
/F4 1 Tf
3.0002 0 TD
(1.)Tj
/F8 1 Tf
1.2496 0 TD
[(Description)-336.5(of)-337(Covariates)]TJ
/F6 1 Tf
-21.0244 -1.8427 TD
[(Measure)-26925.4(Description)]TJ
/F4 1 Tf
0 -1.9003 TD
[(Patient)-337.9(Demographic)-339(Characteristics)]TJ
1.002 -1.0077 TD
[(Sex)-13288.9(Male)-335.5(is)-330.2(reference)-343(group)]TJ
0 -1.0135 TD
[(Age)-13122.9(Age)-333.2(in)-336.2(years)-335.4(at)-331.6(index)-334.5(discharge)]TJ
T*
[(Race)-12780.9(White,)-334.5(Black,)-334.3(Other)-335.4(\(White)-337.9(as)-331.2(reference)-343(group\);)-329.6(other)-334.5(includes)-338.7(small)-335.7(number)]TJ
15.7784 -1.0077 TD
(unreported)Tj
-15.7784 -1.0135 TD
[(Ethnicity)-11102.9(Hispanic)-333.7(vs.)-333.4(non-Hispanic)]TJ
T*
[(Primary)-337.5(Language)-7268.4(English)-330.8(vs.)-333.4(Other)]TJ
T*
[(Population)-333.9(Size)-334.5(of)-336(Client)-336.9(County)-1141.5(As)-330.9(of)-336(July)-332.2(2010:)]TJ
/F5 1 Tf
22.0034 0 TD
(<)Tj
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[(100K,)-336.4(100K199,999,)-329.4(200K)]TJ
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11.5747 0 TD
(+)Tj
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-34.1309 -1.0077 TD
[(Medicaid)-335.1(Eligibility)-6583.8(Months)-335(of)-330.2(Medicaid)-340.8(eligibility)-335.8(in)-330.4(the)-332.6(pre)-338.1(period.)-333.1(Most)-333(patients)-338.9(had)-332.4(12)-336(months)-329.6(of)]TJ
15.7784 -1.0135 TD
[(Medicaid)-306.3(eligibility,)-310.3(so)-301.3(variable)-305.5(was)-310(dichotomized)-305(as)-308.2(111)-303.4(months)-300.8(or)-307.2(12)-301.4(months)]TJ
-16.7804 -1.0135 TD
[(Patient)-337.9(Medical)-334.1(History)]TJ
1.002 -1.0135 TD
[(History)-336.2(of)-330.2(Mental)-337.7(Illness)-4499.8(Any)-280.2(paid)-287.5(claim)-285.2(with)-281.5(a)-284.3(mental)-286.2(health)-285(diagnosis)-286.5(as)-279.4(a)-284.3(primary)-285.9(diagnosis)-286.5(in)-284.3(the)-280.7(2)-283.2(years)]TJ
15.7784 -1.0077 TD
[(prior)-333.4(to)-336.2(index)-334.5(admission)-333.7(date)-334.7(\(ICD-9)-336(code)-334.5(295.xx,296.xx,298.xx\))]TJ
-15.7784 -1.0135 TD
[(History)-336.2(of)-330.2(Substance)-340.5(Abuse)-3341(Any)-280.2(paid)-281.7(claim)-285.2(with)-281.5(substance)-282.9(abuse)-283.5(as)-279.4(primary)-285.9(or)-278.4(any)-280.6(discharge)-288.8(diagnosis)-280.7(in)-278.6(the)-280.7(2)]TJ
15.7784 -1.0135 TD
[(years)-335.4(prior)-333.4(to)-336.2(index)-334.5(admission)-333.7(date)-334.7(\(ICD-9)-336(code)-334.5(303.xx,)-334.2(304.xx,)-334.2(305.xx)-330.8(Except)]TJ
T*
[(for)-331.2(305.1x\))]TJ
-15.7784 -1.0077 TD
[(Prior)-333.2(Hospitalizations)-5940.7(Number)-314.3(of)-307.2(Inpatient)-317(visits)-311.3(in)-313.1(the)-309.5(year)-311.5(prior)-316.1(to)-307.4(index)-317.3(admission)-310.7(date,)-315.1(categorized)-316.5(as)]TJ
15.7784 -1.0135 TD
[(0,1,2,3)-330.8(or)-336(more)]TJ
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[(Prior)-333.2(ED)-338(Visits)-8454.7(Number)-268.2(of)-272.6(ED)-274.6(visits)-271(in)-267.1(the)-275(year)-271.2(prior)-270(to)-272.8(index)-271.2(admission)-270.4(date,)-274.7(categorized)-276.2(as)-267.9(0,1,2)]TJ
15.7784 -1.0077 TD
[(3,)-332.6(4)-335(o)0(r)-330.2(more)]TJ
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15.7784 -1.0135 TD
[(categorized)-339.6(as)-331.2(02,)-334.6(37,)-334.6(811,)-329.8(1215,)-336.6(16)-330.2(or)-336(more)]TJ
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15.7784 -1.0077 TD
[(eligibility)-335.8(in)-336.2(the)-332.6(year)-334.5(prior)-333.4(to)-336.2(index)-334.5(admission)]TJ
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15.7784 -1.0135 TD
[(admission)-333.7(date,)-338.1(categorized)-339.6(as)-331.2(0,16,720,)-334.7(21)]TJ
/F5 1 Tf
18.8765 0 TD
(+)Tj
/F4 1 Tf
-35.6569 -1.0135 TD
[(Characteristics)-344.5(of)-330.2(Index)-334.4(Hospitalization)]TJ
1.002 -1.0077 TD
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15.7784 -1.0135 TD
[(data)-242.6(were)-237.5(used)-241.1(to)-238.3(provide)-238.6(benchmark)-238.2(readmission)-244.7(rates)-237.6(for)-239.1(each)-243.6(CRG.)-239.5(These)-238.6(were)]TJ
T*
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0 -1.0077 TD
[(those)-334.4(CRGs.)]TJ
-15.7784 -1.0135 TD
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15.7784 -1.0135 TD
[(reference)-337.3(group)]TJ
-15.7784 -1.0135 TD
[(Hospital)-338.5(Size)-9329.4(Number)-331.6(of)-336(hospital)-337.7(beds,)]TJ
/F5 1 Tf
25.4931 0 TD
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[(100,)-334.6(100499,)-332.8(and)-332.4(500)]TJ
/F5 1 Tf
9.4498 0 TD
(+)Tj
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(beds)Tj
-36.3767 -1.0077 TD
[(Length)-336.7(of)-330.2(Stay)-8666(Length)-330.9(of)-336(Index)-334.4(hospital)-337.7(stay)-333.4(in)-330.4(days)]TJ
0 -1.0135 TD
[(Weekend)-335.1(Discharge)-6606.8(Discharged)-336.7(on)-330.2(Saturday)-338.5(or)-336(Sunday)]TJ
T*
[(Home)-335.4(Health)-337.7(Services)-5602.8(Discharged)-336.7(to)-330.4(home)-334.5(with)-339.1(home)-334.5(health)-331.1(services)]TJ
8.7511 0 0 8.7511 67.748 311.5275 Tm
[(CRG,)-297.8(Clinical)-301.4(Risk)-299.4(Group;)-297.1(DRG,)-297.7(diagnosis-related)-297.7(group;)-301.3(ED,)-296.7(emergency)-301.3(department;)-300.5(ICD-9,)]TJ
/F6 1 Tf
38.8313 0 TD
[(International)-295.4(Classication)-297.6(of)-300.9(Diseases,)]TJ
-39.7448 -1.0236 TD
[(Ninth)-337.4(Revision.)]TJ
/F3 1 Tf
8.9663 0 0 8.9663 59.7543 749.7069 Tm
[(INCREMENTAL)-342.5(BENEFIT)-332.4(OF)-337.5(A)-331.6(HOME)-334.2(VISIT)]TJ
54.1178 0 TD
(3)Tj
ET
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f
365.839 675.723 58.507 .28345 re
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437.159 675.723 77.386 .28345 re
f
62.022 659.055 490.167 .22681 re
f
BT
/F8 1 Tf
9.845 0 0 9.845 159.5338 725.1588 Tm
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(Table)Tj
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3.0002 0 TD
(2.)Tj
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(discharges\))Tj
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10.4558 2.9279 TD
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14.2871 -4.8307 TD
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(1)Tj
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[(Home)-333.4(Visit)]TJ
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(7468\))Tj
5.5162 1.0187 TD
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[(N)-3177.3(\(%\))-2921.7(N)-2927.4(\(%\))-3581.6(N)-3984.6(\(%\))]TJ
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52.5867 0 TD
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(0.001)Tj
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[(Female)-338(Client)-20018.9(20,938)-1446.4(\(59.53\))-1575.1(4801)-1575(\(64.29\))-1857(16,137)-2260.1(\(58.24\))]TJ
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T*
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T*
[(Readmission)-343.2(Risk)-333.5(Strata)-337(based)-334.9(on)-339(Clinical)-339.7(Risk)-333.5(Group)]TJ
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[(10%)-22128.3(3454)-1446.8(\(9.82\))-2574.8(548)-1575.2(\(7.34\))-3106.6(2906)-2260.5(\(10.49\))]TJ
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[(30%)-21628.6(6827)-1446.8(\(19.41\))-1575.1(1476)-1575(\(19.76\))-2606.6(5351)-2260.5(\(19.31\))]TJ
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[(40%)-21628.6(5957)-1446.8(\(16.94\))-1575.1(1333)-1575(\(17.85\))-2606.6(4624)-2260.5(\(16.69\))]TJ
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(40)Tj
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[(50%)-21628.6(4809)-1446.8(\(13.67\))-1575.1(1065)-1575(\(14.26\))-2606.6(3744)-2260.5(\(13.51\))]TJ
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[(50%)-23127.7(6560)-1446.8(\(18.65\))-1575.1(1744)-1575(\(23.35\))-2606.6(4816)-2260.5(\(17.38\))]TJ
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[(No)-338.8(chronic)-336.3(meds)-18503.9(2355)-1446.8(\(6.70\))-2574.8(371)-1575.2(\(4.97\))-3106.6(1984)-2260.5(\(7.16\))]TJ
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[(1)-332.9(chronic)-336.3(med/month)-16212.5(6689)-1446.8(\(19.02\))-1575.1(1024)-1575(\(13.71\))-2606.6(5665)-2260.5(\(20.45\))]TJ
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[(12)-338.7(chronic)-336.3(meds/month)-15379(5574)-1446.8(\(15.85\))-2074.8(974)-1575.2(\(13.04\))-2606.6(4600)-2260.5(\(16.60\))]TJ
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[(#)-332.9(o)0(f)-333(Acute)-342.7(Medication)-338.5(Fills)-334.2(in)-333.8(Past)-333.9(Year)]TJ
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[(None)-23353.1(2186)-1446.8(\(6.21\))-2574.8(396)-1575.2(\(5.30\))-3106.6(1790)-2260.5(\(6.46\))]TJ
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[(16)-24018.1(6932)-1446.8(\(19.71\))-1575.1(1330)-1575(\(17.81\))-2606.6(5602)-2260.5(\(20.22\))]TJ
T*
[(720)-22768.5(10,568)-1446.4(\(30.04\))-1575.1(2153)-1575(\(28.83\))-2606.6(8415)-2260.5(\(30.37\))]TJ
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T*
()Tj
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[(21)-23211.2(15,488)-1446.4(\(44.03\))-1575.1(3589)-1575(\(48.06\))-1857(11,899)-2260.1(\(42.95\))]TJ
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[(Substance)-342.4(Abuse)-333(Diagnosis)-340.3(in)-333.8(Past)-333.9(2)-332.9(Years)-7869.5(10,996)-1446.4(\(31.26\))-1575.1(2258)-1575(\(30.24\))-2606.6(8738)-2260.5(\(31.54\))-2414.4(0.056)]TJ
T*
[(#)-332.9(Outpatient)-338.4(Providers)-339.8(in)-333.8(Past)-333.9(Year)]TJ
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[(02)-24517.9(220)-1447.1(\(0.63\))-3074.6(42)-1575.5(\(0.56\))-3606.3(178)-2260.8(\(0.64\))]TJ
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[(37)-24018.1(4816)-1446.8(\(13.69\))-2074.8(893)-1575.2(\(11.96\))-2606.6(3923)-2260.5(\(14.16\))]TJ
T*
[(811)-23518.1(8474)-1446.8(\(24.09\))-1575.1(1717)-1575(\(22.99\))-2606.6(6757)-2260.5(\(24.39\))]TJ
T*
[(1215)-23018.1(8287)-1446.8(\(23.56\))-1575.1(1801)-1575(\(24.12\))-2606.6(6486)-2260.5(\(23.41\))]TJ
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T*
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[(16)-23211.2(13,377)-1446.4(\(38.03\))-1575.1(3015)-1575(\(40.37\))-1857(10,362)-2260.1(\(37.40\))]TJ
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[(#)-332.9(Outpatient)-338.4(Providers)-339.8(in)-333.8(Past)-333.9(Year,)-342.1(Mean\(SD\))-6573.9(14.49)-1696.5(\(7.05\))-1953.4(14.86)-1446.7(\(6.94\))-2606.9(14.39)-2510.2(\(7.08\))]TJ
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[(#)-332.9(o)0(f)-333(Inpat)-8.4(ient)-329.7(Admissions)-338.9(in)-340.2(Past)-333.9(Year)]TJ
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[(0)-24268.6(17,827)-1446.4(\(50.68\))-1575.1(3608)-1575(\(48.31\))-1857(14,219)-2260.1(\(51.32\))]TJ
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[(1)-25018.1(7715)-1446.8(\(21.93\))-1575.1(1779)-1575(\(23.82\))-2606.6(5936)-2260.5(\(21.42\))]TJ
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[(2)-25018.1(3647)-1446.8(\(10.37\))-2074.8(816)-1575.2(\(10.93\))-2606.6(2831)-2260.5(\(10.22\))]TJ
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T*
()Tj
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T*
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T*
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