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Among Veterans in the highest tertile of outpatient visits, we observed statistically similar rates of <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> hospital use but over 10\u2010fold greater rates of Medicare\u2010financed hospitalizations (1.31 for lower reliance vs. 0.15 for high reliance; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among Veterans receiving integrated care in <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content>'s H\u2010<jats:styled-content style=\"fixed-case\">PACT<\/jats:styled-content>, dual use of Medicare and <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> outpatient care is strongly associated with acute hospitalizations financed by Medicare. Linking <jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> and non\u2010<jats:styled-content style=\"fixed-case\">VA<\/jats:styled-content> data may identify a subset of homeless Veterans with fragmented outpatient care who are at increased risk of poor outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.13034","type":"journal-article","created":{"date-parts":[[2018,8,29]],"date-time":"2018-08-29T20:56:47Z","timestamp":1535576207000},"page":"5219-5237","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Dual Use and Hospital Admissions among Veterans Enrolled in the <scp>VA<\/scp>'s Homeless Patient Aligned Care Team"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9695-4727","authenticated-orcid":false,"given":"Amal N.","family":"Trivedi","sequence":"first","affiliation":[{"name":"Providence VA Medical Center Providence RI"},{"name":"Department of Health Services, Policy and Practice Brown University School of Public Health Providence RI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lan","family":"Jiang","sequence":"additional","affiliation":[{"name":"Providence VA Medical Center Providence RI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin E.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Providence VA Medical Center Providence RI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie C.","family":"Lima","sequence":"additional","affiliation":[{"name":"Providence VA Medical Center Providence RI"},{"name":"Department of Health Services, Policy and Practice Brown University School of Public Health Providence RI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Flores","sequence":"additional","affiliation":[{"name":"Cambridge Health Alliance Cambridge MA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas P.","family":"O'Toole","sequence":"additional","affiliation":[{"name":"Providence VA Medical Center Providence RI"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31869-X"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00273171.2011.568786"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.180109"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.1604"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-011-1848-9"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)90169-4"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.1588"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12303"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31829fafbb"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.0054"},{"issue":"8","key":"e_1_2_7_12_1","first-page":"726","article-title":"Self\u2010reported Comorbidities, Perceived Needs, and Sources of Usual Care for Older and Younger Homeless Adults","volume":"20","author":"Garibaldi B.","year":"2005","journal-title":"Health Services Research"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12182"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1990.tb01503.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.150.11.2325"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.87.2.217"},{"issue":"6","key":"e_1_2_7_17_1","first-page":"e215","article-title":"Emergency Department Visits in Veterans Affairs Medical Facilities","volume":"17","author":"Hastings S. 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