Diverging Populations Served by the Medicare Home Health Benefit: Comparison of Post-acute vs. Community-entry Home Health in Rural Areas


Description:

Medicare beneficiaries may be admitted to home health following an inpatient stay (post-acute) or directly from the community (community-entry). An analysis of Medicare data for rural, fee-for-service Medicare beneficiaries who utilized home health from 2011 to 2013 found significant differences in care processes between community-entry and post-acute home health. Compared to post-acute home health episodes, community-entry home health episodes on average were longer; less likely to include physical, occupational, and speech therapy visits; more likely to include medical social work visits; and less likely to be initiated on the physician-ordered start date or within two days of referral. Results suggest community-entry and post-acute home health are serving different needs for rural Medicare beneficiaries, which provides preliminary support for distinguishing between the two types of episodes in payment policy reform.
Lead Researcher: Tracy Mroz

 

Funder:

HRSA

 

Status:

Complete

 

Publications/Presentations

Authors Title Type Date Documents/Media
Mroz TM, Andrilla CHA, Garberson LA, Skillman SM, Patterson DG, Wong JL, Larson EH Differences in Care Processes between Community-entry versus Post-acute Home Health for Rural Medicare Beneficiaries PUBLICATION 04-04-2019
PB #166
Mroz TM, Andrilla CHA, Garberson LA, Skillman SM, Patterson DG, Wong JL, Larson EH Different Populations Served by the Medicare Home Health Benefit: Comparison of Post-acute versus Community-entry Home Health in Rural Areas PUBLICATION 07-31-2018
Policy Brief 165
Mroz TM, Andrilla CHA, Skillman, SM, Garberson LA, Patterson DG, Wong JA, & Larson EH Relationship between Medicaid expenditures on home- and community-based services and use of community-entry home health by rural Medicare beneficiaries PRESENTATION 06-25-2018
Mroz TM, Andrilla CHA, Skillman SM, Garberson LA, Patterson DG, Wong JA, & Larson EH Differences in populations and services provided between post-acute and community-entry home health care for rural Medicare beneficiaries PRESENTATION 06-24-2018
Mroz TM, Andrilla CHA, Skillman SM, Garberson LA, Patterson DG, Wong JA. & Larson EH Differences between post-acute and community-entry home health for rural Medicare beneficiaries PRESENTATION 10-01-2018
Mroz TM, Andrilla CHA, Skillman SM, Garberson LA, Patterson DG, Wong JA, & Larson EH Differences in populations and services provided between post-acute and community-entry home health care for rural Medicare beneficiaries PRESENTATION 06-23-2018
Mroz TM, Andrilla CHA, Skillman SM, Garberson LA, Patterson DG, Wong JA, & Larson EH Differences in populations and services between community-entry and post-acute home health for rural Medicare beneficiaries PRESENTATION 06-08-2018