IDEAS home Printed from
   My bibliography  Save this article

Can Oral Nutritional Supplements Improve Medicare Patient Outcomes in the Hospital?


  • Lakdawalla Darius N.

    (Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, California, USA)

  • Snider Julia Thornton


  • Linthicum Mark T.

    (Precision Health Economics, Los Angeles, California, USA)

  • Perlroth Daniella J.

    (Center for Primary Care Outcomes Research, Stanford University, Stanford, California, USA)

  • LaVallee Chris

    (Precision Health Economics, Austin, Texas, USA)

  • Philipson Tomas J.

    (Irving B. Harris School of Public Policy Studies, The University of Chicago, Chicago, Illinois, USA)

  • Partridge Jamie S.

    (Health Economics and Outcomes Research, Abbott Nutrition, Columbus, Ohio, USA)

  • Wischmeyer Paul E.

    (Department of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado, USA)


We analyzed the effect of oral nutritional supplement (ONS) use on 30-day readmission rates, length of stay (LOS), and episode costs in hospitalized Medicare patients (≥65), and subsets of patients diagnosed with acute myocardial infarction (AMI), congestive heart failure (CHF) or pneumonia (PNA). Propensity-score matching and instrumental variables were used to analyze ONS and non-ONS episodes from the Premier Research Database (2000–2010). ONS use was associated with reductions in probability of 30-day readmission by 12.0% in AMI and 10.1% in CHF. LOS decreases of 10.9% in AMI, 14.2% in CHF, and 8.5% in PNA were associated with ONS, as were decreases in episode costs in AMI, CHF and PNA of 5.1%, 7.8% and 10.6%, respectively. The effect on LOS and episode cost was greatest for the Any Diagnosis population, with decreases of 16.0% and 15.8%, respectively. ONS use in hospitalized Medicare patients ≥65 is associated with improved outcomes and decreased healthcare costs, and is therefore relevant to providers seeking an inexpensive, evidence-based approach for meeting Affordable Care Act quality targets.

Suggested Citation

  • Lakdawalla Darius N. & Snider Julia Thornton & Linthicum Mark T. & Perlroth Daniella J. & LaVallee Chris & Philipson Tomas J. & Partridge Jamie S. & Wischmeyer Paul E., 2014. "Can Oral Nutritional Supplements Improve Medicare Patient Outcomes in the Hospital?," Forum for Health Economics & Policy, De Gruyter, vol. 17(2), pages 1-21, September.
  • Handle: RePEc:bpj:fhecpo:v:17:y:2014:i:2:p:21:n:3

    Download full text from publisher

    File URL:
    Download Restriction: For access to full text, subscription to the journal or payment for the individual article is required.

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    1. repec:mpr:mprres:6970 is not listed on IDEAS
    2. Douglas Staiger & James H. Stock, 1997. "Instrumental Variables Regression with Weak Instruments," Econometrica, Econometric Society, vol. 65(3), pages 557-586, May.
    3. Peter K. Lindenauer & Susannah M. Bernheim & Jacqueline N. Grady & Zhenqiu Lin & Yun Wang & Yongfei Wang & Angela R. Merrill & Lein F. Han & Michael T. Rapp & Elizabeth E. Drye & Sharon-Lise T. Norman, "undated". "The Performance of US Hospitals as Reflected in Risk-Standardized 30-Day Mortality and Readmission Rates for Medicare Beneficiaries with Pneumonia," Mathematica Policy Research Reports 29025ac87e7e4038ae36e5113, Mathematica Policy Research.
    Full references (including those not matched with items on IDEAS)

    More about this item


    Access and download statistics


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bpj:fhecpo:v:17:y:2014:i:2:p:21:n:3. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Peter Golla). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.