@article{006be887af414903b4cbd75c7b02e609,
title = "Receipt of home-based medical care among older beneficiaries enrolled in fee-for-service medicare",
abstract = "Millions of older Americans are homebound and may benefit from home-based medical care. We characterized the receipt of this care among community-dwelling, fee-for-service Medicare beneficiaries ages sixty-five and older surveyed in the National Health and Aging Trends Study between 2011 and 2017. Five percent of those surveyed received any home-based medical care between 2011 and 2017 (mean follow-up time per person was 3.4 years), and 75 percent of home-based medical care recipients were homebound. Only 11 percent of the total homebound population (approximately 4.4 million fee-for-service Medicare beneficiaries in 2017) received any home-based medical care between 2011 and 2017. Receipt of home-based medical care was more common among homebound beneficiaries living in metropolitan areas and assisted living facilities, which suggests that geographic factors create operational efficiencies for home-based medical care practices that may improve their financial sustainability within the fee-for-service reimbursement setting. The significant unmet needs of this high-need, high-cost population and the known health and cost benefits of home-based medical care should spur stakeholders to expand the availability of this care.",
author = "Reckrey, {Jennifer M.} and Mia Yang and Bruce Kinosian and Evan Bollens-Lund and Bruce Leff and Christine Ritchie and Katherine Ornstein",
note = "Funding Information: The study investigators were supported by the National Institute on Aging (Grant Nos. R03AG060092 to Jennifer Reckrey and R01AG060967 to Katherine Ornstein). The National Health and Aging Trends Study is supported by the National Institute on Aging (Grant No. NIA U01AG032947) and was conducted by Johns Hopkins University. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Bruce Leff is a board member of the American Academy of Home Care Medicine and a consultant to Landmark Health. The authors acknowledge Omari-Khalid Rahman for providing analytic support. Funding Information: The study investigators were supported by the National Institute on Aging (Grant Nos. R03AG060092 to Jennifer Reckrey and R01AG060967 to Katherine Ornstein). The National Health and Aging Trends Study is supported by the National Instituteon Aging (GrantNo. NIA U01AG032947) and was conducted by Johns Hopkins University. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Bruce Leff is a board member of the American Academy of Home Care Medicineanda consultant to Landmark Health. The authors acknowledge Omari-Khalid Rahman for providing analytic support. Publisher Copyright: {\textcopyright} 2020 Project HOPE— The People-to-People Health Foundation, Inc.",
year = "2020",
month = aug,
doi = "10.1377/hlthaff.2019.01537",
language = "English",
volume = "39",
pages = "1289--1296",
journal = "Health Affairs",
issn = "0278-2715",
publisher = "Project Hope",
number = "8",
}