Evolution of the home health care market: The expansion and quality performance of multi-agency chains.

ABSTRACT:

Objective

To 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 design

Agency- 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 methods

All Medicare-certified HHAs in operation, 2005-2018.

Principal findings

Over the study period, the HHA sector grew substantially, increasing from 7899

SUBMITTER: Geng F 

PROVIDER: S-EPMC7720704 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature