Receipt of home-based medical care among older beneficiaries enrolled in fee-for-service medicare

Jennifer M. Reckrey, Mia Yang, Bruce Kinosian, Evan Bollens-Lund, Bruce Leff, Christine Ritchie, Katherine Ornstein

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)1289-1296
Number of pages8
JournalHealth Affairs
Volume39
Issue number8
DOIs
StatePublished - Aug 2020

ASJC Scopus subject areas

  • Health Policy

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