{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T11:02:42Z","timestamp":1781262162058,"version":"3.54.1"},"reference-count":0,"publisher":"Project MUSE","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["hpu"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:p xml:lang=\"en\">Abstract: Objective. Evaluate the association between reported homelessness and inpatient resource use among Medicare beneficiaries, and investigate variation therein. Data sources and study design. Cross-sectional study of 6.3 million 2022 Medicare inpatient claims from 3,200 U.S. hospitals, examining the association between homelessness and three outcomes: cost, length of stay (LOS), and non-intensive care days using multilevel models. Robustness checks were conducted on five cross-sectional clinical subgroups. Principal findings. Among Medicare inpatient discharges, 0.63% reported homelessness, with teaching hospitals reporting 0.67%, in contrast to 0.55% in non-teaching hospitals. Overall, homelessness is associated with $829 (p&lt;.001) higher costs and 2.45 (p&lt;.001) longer LOS, primarily days outside of intensive care. For some patient subpopulations, the homelessness-cost association was greater than the national $829 magnitude. Conclusions. Reported homeless rates vary by hospital type and involve different hospital resources depending on hospital and patient type, including higher costs and longer inpatient hospital stays.<\/jats:p>","DOI":"10.1353\/hpu.2026.a992132","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T10:46:17Z","timestamp":1781261177000},"page":"608-620","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Reported Homelessness and Inpatient Resource Use for Medicare Beneficiaries"],"prefix":"10.1353","volume":"37","author":[{"given":"Rebecca","family":"Onyango","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Baker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Hahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"147","container-title":["Journal of Health Care for the Poor and Underserved"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T10:46:20Z","timestamp":1781261180000},"score":1,"resource":{"primary":{"URL":"https:\/\/muse.jhu.edu\/article\/992132"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,5]]}},"URL":"https:\/\/doi.org\/10.1353\/hpu.2026.a992132","relation":{},"ISSN":["1548-6869"],"issn-type":[{"value":"1548-6869","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]}}}