Comparing Receipt of Prescribed Post-acute Home Health Care Between Medicare Advantage and Traditional Medicare Beneficiaries: an Observational Study.

ABSTRACT:

Background

Medicare Advantage (MA) covers more than 1/3rd of all Medicare beneficiaries. MA plans are required to provide the same benefits as Traditional Medicare (TM), but can impose utilization management tools to control costs.

Objective

To assess differences between TM and MA enrollees in the probability of receiving prescribed post-acute home health (HH) care and to describe MA plan characteristics associated with HH receipt.

Design

Retrospective cross-sectional analysis of claims data, HH patient assessment data, and MA plan data from 2011 to 2017.

Participants

Medicare beneficiaries aged 66 and older with an incident hospitalization for joint replacement, pneumonia, chronic obstructive pulmonary disease, stroke, urinary tract infection, septicemia, acut

SUBMITTER: Loomer L 

PROVIDER: S-EPMC8342740 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature