干旱区生态环境知识资源中心(Arid): Medicare Advantage and Home Health Care

Arid

DOI	10.1097/MLR.0000000000001992
	Medicare Advantage and Home Health Care
	Ma, Chenjuan; Rajewski, Martha; Smith, Jamie M.
通讯作者	Ma, CJ
来源期刊	MEDICAL CARE
ISSN	0025-7079
EISSN	1537-1948
出版年	2024
卷号	62 期号:5 页码:333-345
英文摘要	Objectives:Home health care serves millions of Americans who are Aging in Place, including the rapidly growing population of Medicare Advantage (MA) enrollees. This study systematically reviewed extant evidence illustrating home health care (HHC) services to MA enrollees.Methods:A comprehensive literature search was conducted in 6 electronic databases to identify eligible studies, which resulted in 386 articles. Following 2 rounds of screening, 30 eligible articles were identified. Each study was also assessed independently for study quality using a validated quality assessment checklist.Results:Of the 30 studies, nearly half (n=13) were recently published between January 1, 2017 - January 6, 2022. Among various issues related to HHC to MA enrollees examined, which were often compared with Traditional Medicare (TM) enrollees, the 2 most studied issues were HHC use rate (including access) and care dosage/intensity. Inconsistencies were common in findings across reviewed studies, with slight variations in the level of inconsistency by studied outcomes. Several critical issues, such as heterogeneity of MA plans, influence of MA-specific features, and program response to policy and quality improvement initiatives, were only examined by 1 or 2 studies. The depth and scope of scientific investigation were also limited by the scale and details available in MA data in addition to other methodological limits.Conclusions:Wild variations and conflicting findings on HHC to MA beneficiaries exist across studies. More research with rigorous designs and robust MA encounter data is warranted to determine home health care for MA enrollees and the relevant outcomes.
英文关键词	medicare advantage home health care care quality patient outcomes health policy
类型	Article
语种	英语
收录类别	SCI-E ; SSCI
WOS记录号	WOS:001233680800003
WOS关键词	FEE-FOR-SERVICE ; TRADITIONAL MEDICARE ; HMO ; EXPENDITURES ; OASIS
WOS类目	Health Care Sciences & Services ; Health Policy & Services ; Public, Environmental & Occupational Health
WOS研究方向	Health Care Sciences & Services ; Public, Environmental & Occupational Health
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/404897
推荐引用方式 GB/T 7714	Ma, Chenjuan,Rajewski, Martha,Smith, Jamie M.. Medicare Advantage and Home Health Care[J],2024,62(5):333-345.
APA	Ma, Chenjuan,Rajewski, Martha,&Smith, Jamie M..(2024).Medicare Advantage and Home Health Care.MEDICAL CARE,62(5),333-345.
MLA	Ma, Chenjuan,et al."Medicare Advantage and Home Health Care".MEDICAL CARE 62.5(2024):333-345.