Receipt Of Home-Based Medical Care Among Older Beneficiaries Enrolled In Fee-For-Service Medicare.
Activities of daily living
Clinical care
Dementia
Fee-for-service
Home and community-based services
Home care
Medicaid
Medicare
Medicare savings program
Older adults
health policy
primary care
Journal
Health affairs (Project Hope)
ISSN: 1544-5208
Titre abrégé: Health Aff (Millwood)
Pays: United States
ID NLM: 8303128
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
entrez:
4
8
2020
pubmed:
4
8
2020
medline:
28
4
2021
Statut:
ppublish
Résumé
Millions of older Americans are homebound and may benefit from home-based medical care. We characterized the receipt of this care among community-dwelling, fee-for-service Medicare beneficiaries ages sixty-five and older surveyed in the National Health and Aging Trends Study between 2011 and 2017. Five percent of those surveyed received any home-based medical care between 2011 and 2017 (mean follow-up time per person was 3.4 years), and 75 percent of home-based medical care recipients were homebound. Only 11 percent of the total homebound population (approximately 4.4 million fee-for-service Medicare beneficiaries in 2017) received any home-based medical care between 2011 and 2017. Receipt of home-based medical care was more common among homebound beneficiaries living in metropolitan areas and assisted living facilities, which suggests that geographic factors create operational efficiencies for home-based medical care practices that may improve their financial sustainability within the fee-for-service reimbursement setting. The significant unmet needs of this high-need, high-cost population and the known health and cost benefits of home-based medical care should spur stakeholders to expand the availability of this care.
Identifiants
pubmed: 32744949
doi: 10.1377/hlthaff.2019.01537
pmc: PMC7553783
mid: NIHMS1632604
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1289-1296Subventions
Organisme : NIA NIH HHS
ID : P30 AG028741
Pays : United States
Organisme : NIA NIH HHS
ID : R03 AG060092
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG060967
Pays : United States
Organisme : NIA NIH HHS
ID : P01 AG066605
Pays : United States
Organisme : NIA NIH HHS
ID : U01 AG032947
Pays : United States
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