Functional Outcomes in Home Health for Medicare Beneficiaries with Dementia
Author Information
Author(s): Basu Rashmita
Primary Institution: East Carolina University
Hypothesis
This study examines the difference in functional outcomes among Traditional Medicare and Medicare Advantage beneficiaries with Alzheimer's disease and related dementias during a home health admission.
Conclusion
Medicare Advantage enrollees were 26% less likely to report improvement or maintenance of their functional status compared to Traditional Medicare enrollees.
Supporting Evidence
- The analysis included 81,735 Medicare beneficiaries.
- 30.5% of the cohort had Medicare Advantage, while 69.5% had Traditional Medicare.
- There was no significant difference in the number of home health visits between the two groups.
Takeaway
This study found that people with dementia using Medicare Advantage had worse outcomes in home health care compared to those using Traditional Medicare.
Methodology
The study used a cohort design analyzing data from the 2019 Outcome and Assessment Information Set and Medicare claims.
Limitations
The study may not account for all variables affecting functional outcomes.
Participant Demographics
30.5% of participants were enrolled in Medicare Advantage, and 69.5% in Traditional Medicare.
Statistical Information
P-Value
0.39
Confidence Interval
95% CI: 0.71-0.77
Statistical Significance
p=0.39
Digital Object Identifier (DOI)
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