Left behind again: Rural home health services in a Medicaid pediatric accountable care organization.

ABSTRACT:

Purpose

To contrast trends in rural and urban pediatric home health care use among Medicaid enrollees.

Methods

Medicaid administrative claims data were used to assess differences in home health care use for child members in a large pediatric accountable care organization (ACO) in Ohio. Descriptive statistics assessed rural and urban differences in health care use over a 10-year period between 2010 and 2019.

Findings

Pediatric home health care use increased markedly in the low-income (CFC) and disabled (ABD) Medicaid categories. Over the past 10 years, CFC-enrolled children from urban communities have seen more home health visits, fewer emergency department (ED) visits, and more well child visits compared to rural CFC-enrolled children. Children enrolled due to disabil

SUBMITTER: Hardy RY 

PROVIDER: S-EPMC9291131 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature