ArticleHealth services research2020
Evolution of the home health care market: The expansion and quality performance of multi-agency chains.
Article in Health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Trends and Disparities in Post-acute Care Utilization After Hospitalization for Sepsis in the United States: A Systematic Review.Medical care · 2026Pooled it
- Match Rates Between Home Health Assessment and Medicare Claims Data.JAMA network open · 2026Article
- Corporate Ownership, Health System Affiliation, and Market Concentration of Home Health Agencies.JAMA network open · 2025Article
- Medicare Home Health Care Is the Ideal Platform for Home-Based Palliative Care at the End of Life.Journal of palliative medicine · 2025Article
- Long-Term Care Services and Supports Needed for Successful Aging-in-Place: A Critical Review.Annual review of public health · 2025Review
- Change of Ownership and Quality of Home Health Agency Care.JAMA health forum · 2024Article
- Home Health Care Use and Outcomes After Coronary Artery Bypass Grafting Among Medicare Beneficiaries.Circulation. Cardiovascular quality and outcomes · 2024Article
- Claims-Based vs Agency-Reported Patient Outcomes Among Home Health Agencies, 2013-2019.JAMA network open · 2024Article
- Machine learning applied to electronic health record data in home healthcare: A scoping review.International journal of medical informatics · 2023Article
- New Internet of Medical Things for Home-Based Treatment of Anorectal Disorders.Sensors (Basel, Switzerland) · 2022Article
- Making integration work.Health services research · 2020Article
- Evolution of the home health care market: The expansion and quality performance of multi-agency chains.Health services research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveTo examine the growth and evolution of the home health agency (HHA) market and to compare quality performance across HHA ownership categories. DATA SOURCE: Agency characteristics were extracted from Medicare cost reports and Provider of Services file. Quality of care and patient characteristics were extracted from Quality of Patient Care Star Ratings and HHA Public Use File. STUDY
designAgency- and state-level analyses were conducted to describe HHA market trends. Patient characteristics and quality measures were compared across ownership categories of interest. DATA COLLECTION/EXTRACTION
methodsAll Medicare-certified HHAs in operation, 2005-2018. PRINCIPAL
findingsOver the study period, the HHA sector grew substantially, increasing from 7899 to 10 818 agencies, and chain-owned HHAs doubled in number from 903 (11.4% of all agencies) to 1841 (17.0%). In 2018, across agency types, for-profit nonchain agencies were the largest category both in the number of agencies (67.8%) and the number of Medicare enrollees served (40.7%). Additionally, for-profit nonchain agencies grew most in total number, from 4293 (54.3%) to 7337 (67.8%), while for-profit chain agencies grew most in the number of Medicare enrollees served, from 439 998 (12.9%) to 1 082 385 (28.3%). Regarding patient composition, for-profit nonchain agencies served the highest proportion of dual eligible beneficiaries (42.2%) and African-Americans (27.9%) among all agency types. Regarding quality performance, a higher star rating is significantly (P < .01) associated with chain agency status. Moreover, chain HHAs performed better on self-reported process measures, and risk-adjusted self-reported outcome measures; however, they performed worse on risk-adjusted claims-based outcome measures. These results were similar across for-profit and nonprofit chain agencies.
conclusionChains play a growing role in the home health sector. Substantial differences in geographic distribution, patient composition, and quality performance were observed between chain- and nonchain HHAs. Examining the growth and performance of multi-agency chains can help inform quality reporting and monitoring, assess payment adequacy, and facilitate greater transparency and accountability within the HHA marketplace.
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