Impact of Payment Policy on Home Health Access for People Living with Dementia
Author Information
Author(s): Knox Sara, Brinton Daniel, Johnson Jada, Simpson Kit
Primary Institution: Medical University of South Carolina
Hypothesis
The Patient-Driven Grouping Model (PDGM) disincentivizes home health agencies from admitting patients with dementia who require longer episodes of care.
Conclusion
People living with dementia accessed and used home health services differently before the PDGM implementation and may face negative effects from the new payment model.
Supporting Evidence
- PLWD had greater odds of early community admissions.
- PLWD showed high functional limitations.
- PLWD had a higher comorbidity adjustment.
Takeaway
This study looked at how changes in payment rules affect home health care for people with dementia, showing that these changes might make it harder for them to get the help they need.
Methodology
The study used multivariate regression on propensity score-matched groups to analyze home health access differences.
Participant Demographics
Participants included 153,957 individuals with and without dementia, matched based on demographics and health characteristics.
Statistical Information
P-Value
p<0.0001, p<0.001
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website