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UnknownPredicting Hospitalization among Medicaid Home- and Community-Based Services Users Using Machine Learning Methods.
We compare multiple machine learning algorithms and develop models to predict future hospitalization among Home- and Community-Based Services (HCBS) Users. Furthermore, we calculate feature importance, the score of input variables based on their importance to predict the outcome, to identify the mos...
S-EPMC10069559 | biostudies-literature
UnknownTrends In Medicaid Home And Community-Based Services Waivers For Older Adults.
During the past several decades, state Medicaid programs have expanded the use of home and community-based services, particularly through Section 1915(c) waivers and Section 1115 demonstration waivers. We document trends from the period 1997-2020 in waivers targeting older adults, focusing on servic...
S-EPMC12009609 | biostudies-literature
UnknownA National Examination Of Long-Term Care Setting, Outcomes, And Disparities Among Elderly Dual Eligibles.
The benefits of expanding funding for Medicaid long-term care home and community-based services (HCBS) relative to institutional care are often taken as self-evident. However, little is known about the outcomes of these services, especially for racial and ethnic minority groups, whose members tend t...
S-EPMC7147241 | biostudies-literature
UnknownNursing home 5-star rating system exacerbates disparities in quality, by payer source.
Market-based reforms in health care, such as public reporting of quality, may inadvertently exacerbate disparities. We examined how the Centers for Medicare and Medicare Services' five-star rating system for nursing homes has affected residents who are dually enrolled in Medicare and Medicaid ("dual...
S-EPMC6344885 | biostudies-literature
UnknownInformal And Formal Home Care For Older Adults With Disabilities Increased, 2004-16.
Rates of informal home care use among older adults with disabilities increased from 2004 to 2016, such that in 2016 almost three-quarters of these adults received informal home care. Informal care remains the most common source of home care, even though formal home care use grew at almost twice the ...
S-EPMC8729158 | biostudies-literature
UnknownDoes Nursing Home Compare Reflect Patient Safety In Nursing Homes?
The past several decades have seen significant policy efforts to improve the quality of care in nursing homes, but the patient safety movement has largely ignored this setting. In this study we compared nursing homes' performance on several composite quality measures from Nursing Home Compare, the m...
S-EPMC6405288 | biostudies-literature
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