FUNCTIONAL OUTCOME IN HOME HEALTH AMONG TRADITIONAL MEDICARE AND MEDICARE ADVANTAGE BENEFICIARIES WITH DEMENTIA
2024

Functional Outcomes in Home Health for Medicare Beneficiaries with Dementia

Sample size: 81735 publication Evidence: moderate

Author Information

Author(s): Basu Rashmita

Primary Institution: East Carolina University

Hypothesis

There is a difference in functional outcomes between Traditional Medicare and Medicare Advantage beneficiaries with Alzheimer's disease and related dementias during home health admissions.

Conclusion

Medicare Advantage enrollees were less likely to report improvement in functional outcomes compared to Traditional Medicare enrollees.

Supporting Evidence

  • The analysis included 81,735 Medicare beneficiaries.
  • 30.5% of the cohort had Medicare Advantage.
  • 69.5% of the cohort had Traditional Medicare.
  • There was no difference in the number of home health visits between the two groups.

Takeaway

This study found that people with dementia on Medicare Advantage had a harder time improving their daily activities compared to those on 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 factors influencing functional outcomes.

Participant Demographics

30.5% of participants were enrolled in Medicare Advantage, and 69.5% were 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)

10.1093/geroni/igae098.2977

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