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

Research center:
Lead researcher:
Contact:
Tracy Mroz, PhD, 206.598.5396, tmroz@uw.edu
Project funded:
September 2015
Anticipated completion date:
December 2018

Medicare beneficiaries may be admitted to home health following an inpatient stay (post-acute) or directly from the community (community-entry). This study will examine differences between post-acute and community-entry home health for rural, fee-for-services beneficiaries. The proportion of community-entry episodes will be examined by type of rural geography and region. Predictors of community-entry, including clinical and non-clinical beneficiary characteristics, community health resources, and Medicaid programming will be explored. Differences in service provision between community-entry and post-acute home health will also be examined. Results will provide critical information on how rural Medicare beneficiaries are utilizing the home health benefit, which will help inform continued efforts to revise the home health prospective payment system.


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