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Home Health Use In Medicare Advantage Compared To Use In Traditional Medicare. | LitMetric

Home Health Use In Medicare Advantage Compared To Use In Traditional Medicare.

Health Aff (Millwood)

Iara Oliveira is a social science analyst in the Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services.

Published: June 2020

AI Article Synopsis

  • * A study found that in 2016, Medicare Advantage enrollees utilized home health care less frequently and spent fewer days in care compared to traditional Medicare enrollees, plus they had lower hospitalization rates during care.
  • * Among different Medicare Advantage plans, those with cost-sharing or prior authorization had reduced home health usage, and changes made in 2020 to traditional Medicare policies may help lessen this disparity in care usage.

Article Abstract

Medicare covers home health benefits for homebound beneficiaries who need intermittent skilled care. While home health care can help prevent costlier institutional care, some studies have suggested that traditional Medicare beneficiaries may overuse home health care. This study compared home health use in Medicare Advantage and traditional Medicare, as well as within Medicare Advantage by beneficiary cost sharing, prior authorization requirement, and plan type. In 2016 Medicare Advantage enrollees were less likely to use home health care than traditional Medicare enrollees were, had 7.1 fewer days per home health spell, and were less likely to be admitted to the hospital during their spell. Among Medicare Advantage plans, those that imposed beneficiary cost sharing or prior authorization requirements had lower rates of home health use. Qualitative interviews suggested that Medicare Advantage payment and contracting approaches influenced home health care use. Therefore, changes in traditional Medicare home health payment policies implemented in 2020 may reduce these disparities in home health use and spell length.

Download full-text PDF

Source
http://dx.doi.org/10.1377/hlthaff.2019.01091DOI Listing

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