ArticleJournal of the American Geriatrics Society2020
Implications of 2020 Skilled Home Healthcare Payment Reform for Persons with Dementia.
Article in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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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.
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Who cites it
23 citing papers in PubMed.
- Home Health Pathways Relevant to Patient-Driven Groupings Model Classification Among Medicare Beneficiaries With and Without Dementia.Journal of the American Medical Directors Association · 2026Article
- Medicare Advantage Prior-Authorizations Are Linked to Racial Differences in End-of-Life Home Health Use.Journal of the American Geriatrics Society · 2026Article
- Patient-Driven Grouping Model and Home Health Use Among Traditional Medicare Beneficiaries.Journal of the American Medical Directors Association · 2026Article
- Methodological advances in claims-based dementia algorithms: integrating medication and clinical data for medicare populations.BMC medical research methodology · 2026Article
- Community-Entry Home Health Made Up Nearly Half Of Home Health Episodes And Spending In Traditional Medicare, 2017-21.Health affairs (Project Hope) · 2026Article
- Family Caregiver Availability and Capacity Associated With Home Health Service Types for Patients With Dementia.Journal of the American Medical Directors Association · 2025Article
- Undocumented Dementia Diagnosis During Skilled Home Health Care: Prevalence and Associated Factors.Journal of the American Geriatrics Society · 2025Article
- Home Health Care Use Among Medicare Beneficiaries From 2010 to 2020.Medical care research and review : MCRR · 2025Article
- Trends in Home Health Care Among Traditional Medicare Beneficiaries With or Without Dementia.JAMA network open · 2025Article
- Skilled home healthcare utilization and outcomes for older adults with dementia: A scoping review.Journal of the American Geriatrics Society · 2025Article
- Getting to the root: Examining within and between home health agency inequities in functional improvement.Health services research · 2024Article
- Prevalence of cognitive impairment in home health physical therapy.Journal of the American Geriatrics Society · 2024Article
- Prevalence and predictors of incident ADRD diagnosis following a Medicare home health episode.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Role of Home Health for Community-Dwelling Older Adults Near the End of Life: A Resource Beyond Hospice?Journal of palliative medicine · 2023Article
- Patient cognitive impairment associated with higher home health care delivery costs.Health services research · 2022Article
- Transitions from Home Health to Hospice: The Role of Agency Affiliation.Journal of palliative medicine · 2022Article
- Cognitive impairment associated with greater care intensity during home health care.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022Article
- Medicare-funded home-based clinical care for community-dwelling persons with dementia: An essential healthcare delivery mechanism.Journal of the American Geriatrics Society · 2022Article
- Home Health Agencies With More Socially Vulnerable Patients Have Poorer Experience of Care Ratings.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- Home health utilization association with discharge to community for people with dementia.Alzheimer's & dementia (New York, N. Y.) · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
BACKGROUND/
objectivesThe Medicare home health benefit provides episodic skilled home-based clinical care to the growing population of community-dwelling persons with dementia. As of January 1, 2020, home health payment changed: episodes shortened from 60 to 30 days, and episodes initiated in the community are now reimbursed at lower rates than episodes following institutional stays. We aim to assess the potential impact of these policy changes on this population. DESIGN/
settingCross-sectional study using the Medicare claims-linked National Health and Aging Trends Study (NHATS).
participantsA total of 1,867 NHATS respondents who received home health between 2011 and 2017. MEASUREMENTS: Dementia was defined through both self-report and a validated cognitive assessment through NHATS. We described the demographic, socioeconomic, and health characteristics of older adults with dementia receiving home health compared with those without dementia. We then assessed the association of dementia with both receiving community-initiated home health (vs postinstitutional) and visit timing during the home health episode.
resultsOver a follow-up period of just over 4 years, 50.2% of persons with dementia used home health compared with 15.3% of persons without dementia. Most home health provided to persons with dementia was initiated in the community (61%), compared with 37% of episodes provided to persons without dementia. Persons with dementia were more likely to receive care in days 31 to 60 of the episode compared with those without dementia.
conclusionsShortening episodes and reimbursing community-initiated episodes at lower rates may disproportionately impact the highly vulnerable population of older adults with dementia, who receive more community-initiated care over longer time periods. Our work highlights the need to better understand the unique role of home health in meeting gaps in both acute- and long-term care systems for older adults with dementia. J Am Geriatr Soc 68:2303-2309, 2020.
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