Publications by authors named "B P Kinosian"
Importance: Major surgery sometimes involves long recovery or even permanent institutionalization. Little is known about long-term trajectories of postoperative recovery, as surgical registries are limited to 30-day outcomes and care can occur across various institutions.
Objective: To characterize long-term postoperative recovery trajectories.
Article Synopsis
- Home and community-based services (HCBS) allow frail patients, including Veterans, to stay at home instead of being institutionalized.
- A study analyzed disparities in HCBS utilization among Veterans based on neighborhood deprivation, race, and rurality, revealing that most Veterans are equitably receiving necessary services.
- Results showed that while Veterans in deprived neighborhoods had slightly higher HCBS utilization, rural Veterans received less, and Black Veterans had marginally increased access compared to White Veterans, indicating the VA's effective resource allocation for HCBS.
Background: We aimed to identify combinations of long-term services and supports (LTSS) Veterans use, describe transitions between groups, and identify factors influencing transition.
Methods: We explored LTSS across a continuum from home to institutional care. Analyses included 104,837 Veterans Health Administration (VHA) patients 66 years and older at high-risk of long-term institutional care (LTIC).
Importance: The Centers for Medicare & Medicaid Services Innovation Center Independence at Home (IAH) demonstration, a test of home-based primary care operating in a value-based shared-savings payment model, ended December 2023 after a decade of consistently showing savings to Medicare. It is important to assess whether high-need, IAH-qualified beneficiaries continue to pose a growing challenge to traditional Medicare (TM) or if Medicare Advantage (MA), with programmatic features favorable to caring for this subset of the general Medicare population, can disproportionately provide such care.
Objective: To examine the size and share of IAH-qualified beneficiaries in TM and MA.