ArticleBMC health services research2023
Defining a taxonomy of Medicare-funded home-based clinical care using claims data.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 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.
The trial behind it
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Who cites it
7 citing papers in PubMed.
- The Changing Landscape of the Providers of Home-Based Medical Care in Traditional Medicare.Journal of the American Geriatrics Society · 2026Article
- Telemedicine: a substitute or complement for home-based medical care? the experience of Medicare enrollees with dementia.Health affairs scholar · 2025Article
- Bedbound Status During the Last Year of Life Among Community-Dwelling Older Adults.JAMA network open · 2025Article
- Mapping the landscape of Hospital at home (HaH) care: a validated taxonomy for HaH care model classification.BMC health services research · 2025Article
- Drivers of Community-Entry Home Health Care Utilization Among Older Adults.Journal of the American Medical Directors Association · 2024Article
- Patient Portal Use during Home Health Care at an Academic Health System.Journal of the American Medical Directors Association · 2024Article
- Medicare-funded home-based clinical care for community-dwelling persons with dementia: An essential healthcare delivery mechanism.Journal of the American Geriatrics Society · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundAs more Americans age in place, it is critical to understand care delivery in the home. However, data on the range of home-based services provided by Medicare is limited. We define a taxonomy of clinical care in the home funded through fee-for-service Medicare and methods to identify receipt of those services.
methodsWe analyzed Fee-for-service (FFS) Medicare claims data from a nationally-representative cohort of older adults, the National Health and Aging Trends Study (NHATS), to identify home-based clinical care. We included 6,664 NHATS enrollees age ≥ 70 and living in the community, observed an average of 3 times each on claims-linked NHATS surveys. We examined provider and service type of home-based clinical care to identify a taxonomy of 5 types: home-based medical care (physician, physician assistant, or nurse practitioner visits), home-based podiatry, skilled home health care (SHHC), hospice, and other fee-for-service (FFS) home-based care. We further characterized home-based clinical care by detailed care setting and visit types.
resultsFrom 2011-2016, 17.8%-20.8% of FFS Medicare beneficiaries age ≥ 70 received Medicare-funded home-based clinical care. SHHC was the most common service (12.8%-16.1%), followed by other FFS home-based care (5.5%-6.5%), home-based medical care (3.2%-3.9%), and hospice (2.6%-3.0%). Examination of the other-FFS home-based care revealed imaging/diagnostics and laboratory testing to be the most common service.
conclusionsWe define a taxonomy of clinical care provided in the home, serving 1 in 5 FFS Medicare beneficiaries. This approach can be used to identify and address research and clinical care gaps in home-based clinical care delivery.
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