PAYMENT POLICY IMPACT ON HOME HEALTH ACCESS FOR PEOPLE LIVING WITH DEMENTIA

Sara Knox, Daniel Brinton, Jada Johnson, Kit Simpson · 2024

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Description

Sara Knox and co-authors examine whether a Medicare payment reform squeezes home care for people with dementia in a 2024 study. Home health visits help such patients stay home instead of entering institutions, and longer episodes work best for them. A new payment model pays agencies by patient traits, raising fears that agencies will avoid patients who need long, community-based care.

The team applied the new formula to the full 2019 home health files, before the model took effect. They built two matched groups of more than one hundred fifty thousand people each, with and without dementia, alike in background and function. Comparing how the formula scores the two groups reveals any built-in penalty. Payment design quietly decides who gets care; the study checks the fine print.

Catalog record

CREATORSara Knox, Daniel Brinton, Jada Johnson, Kit Simpson
YEAR2024
COLLECTIONPAPERS
FORMATTXT
FILE SIZE2 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC11689069

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