ArticleThe American journal of managed care2025
Medicare Advantage reimbursement structures impact home health delivery and outcomes.
Article in The American journal of managed care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Methodological Approaches to Examining Home Health Using Traditional Medicare and Medicare Advantage Claim Data.Health services research · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesMedicare Advantage (MA) plans provide fewer home health (HH) services than traditional Medicare (TM), but MA plans vary in how they reimburse HH agencies. Like TM, episodic MA plans allow agencies to determine the number and type of visits. Alternatively, per-visit MA plans dictate a specific number of visits and which disciplines provide them. This study examined differences in HH care delivery and patient outcomes among TM, episodic MA, and per-visit MA plans. STUDY
designSecondary analysis of HH agency data from January 2019 to December 2022.
methodsFor 285,297 HH stays, we used inverse probability of treatment weighting regression to compare TM vs each MA plan type and per-visit vs episodic MA plans. We examined HH length of stay; number of visits from nursing, therapy disciplines, social work, and aides; transfer to an inpatient facility during HH; improvement in self-care and mobility function; and community discharge.
resultsCompared with TM, both MA plans had shorter stays and fewer visits from nursing, therapy, and aides, and episodic MA plans had fewer social work visits. Comparing MA plans with each other, per-visit MA had 2.3% shorter stays, 3.0% more physical therapy visits, and 6.8% fewer social work visits vs episodic MA. Differences in outcomes between MA and TM varied by MA plan type, but compared with TM, per-visit MA had a 6% higher likelihood of inpatient transfers (95% CI, 1.02-1.10). Comparing MA plans, per-visit MA had a 12% higher likelihood of inpatient transfers (95% CI, 1.06-1.18) than episodic MA.
conclusionsEpisodic MA plans, which allow HH agencies flexibility in determining visit delivery, may have fewer adverse inpatient transfer outcomes compared with MA plans that dictate the amount and type of care provided.
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Registered trials
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