ArticleHealth affairs (Project Hope)2020
The Impact Of Medicare's Rural Add-On Payments On Supply Of Home Health Agencies Serving Rural Counties.
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic Review of Rural and Urban Differences in Care Provided by Home Health Agencies in the United States.Journal of the American Medical Directors Association · 2022Pooled it
- Rural and Urban Differences in the Trends in Supply of Home Care Workers From 2015 to 2024.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- The Rural Community-Based Occupational Therapy Model (Rural CB-OT): Community-Codesigned Solution to support Aging in Place in Rural Underserved Areas.Research square · 2026Article
- Home Health Focus: A New Publicly Available Dataset to Study Community-Dwelling Populations Receiving Home Health Services.Annals of family medicine · 2025Article
- Implementation of US Post-Acute Care Payment Reform and COVID-19 Policies: Examining Experiences of Health System Leaders, Staff, Patients, and Family Caregivers-A Protocol.International journal of environmental research and public health · 2023Article
- Home health services for minorities in urban and rural areas with Alzheimer's and related dementia.Home health care services quarterly · 2023Article
- Examining the role of race and quality of home health agencies in delayed initiation of home health services for individuals with Alzheimer's disease and related dementias (ADRD).Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Rural disparities in use of family and formal caregiving for older adults with disabilities.Journal of the American Geriatrics Society · 2023Article
- Who Will Care for Rural Older Adults? Measuring the Direct Care Workforce in Rural Areas.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- Severe neighborhood deprivation and nursing home staffing in the United States.Journal of the American Geriatrics Society · 2023Article
- Left behind again: Rural home health services in a Medicaid pediatric accountable care organization.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Intermittently since 2001, Medicare has provided a percentage increase over standard payments to home health agencies that serve rural beneficiaries. Yet the effect of rural add-on payments on the supply of home health agencies that serve rural communities is unknown. Taking advantage of the pseudo-natural experiment created by varying rural add-on payment amounts over time, we used data from Home Health Compare to examine how the payments affected the number of home health agencies serving rural counties. Our results suggest that while supply changes are similar in rural counties adjacent to urban areas and in urban counties regardless of add-on payments, only higher add-on payments (of 5 percent or 10 percent) keep supply changes in rural counties not adjacent to urban areas on pace with those in urban counties. Our findings support the recent shift from broadly applied to targeted rural add-on payments but raise questions about the effects of the amount and eventual sunset of these payments on the supply of home health agencies serving remote rural communities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.