Receipt Of Home-Based Medical Care Among Older Beneficiaries Enrolled In Fee-For-Service Medicare | Zendy

Jennifer Reckrey | Zendy; Mia Yang | Zendy; Bruce Kinosian | Zendy; Evan BollensLund | Zendy; Bruce Leff | Zendy; Christine S. Ritchie | Zendy; Katherine Ornstein | Zendy

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Receipt Of Home-Based Medical Care Among Older Beneficiaries Enrolled In Fee-For-Service Medicare

Author(s) -

Jennifer Reckrey,

Mia Yang,

Bruce Kinosian,

Evan BollensLund,

Bruce Leff,

Christine S. Ritchie,

Katherine Ornstein

Publication year - 2020

Publication title -

health affairs

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.837

H-Index - 178

eISSN - 2694-233X

pISSN - 0278-2715

DOI - 10.1377/hlthaff.2019.01537

Subject(s) - receipt , reimbursement , medicine , metropolitan area , fee for service , service (business) , population , health care , medical home , medicaid , family medicine , gerontology , business , environmental health , primary care , accounting , pathology , marketing , economics , economic growth

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.

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