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 |
|
