NAVIGATING THE HOME CARE LANDSCAPE FOR MEDICARE BENEFICIARIES: FINDINGS FROM A SECRET SHOPPER STUDY
2024

Home Care Access for Medicare Beneficiaries

Sample size: 86 publication Evidence: moderate

Author Information

Author(s): Shilvock Abigail, Leung Peggy, Sterling Madeline

Primary Institution: Cornell University Medical College

Hypothesis

How do Medicare beneficiaries experience access to home health care services?

Conclusion

Many Medicare beneficiaries face significant barriers and variability in accessing timely home health care services.

Supporting Evidence

  • 72% of CHHAs reported availability to provide skilled home health nursing services.
  • 66% reported availability to provide unskilled services.
  • Only 5% offered private pay skilled services.
  • Nearly 80% of CHHAs could obtain insurance approval.
  • Over 75% could perform an in-home nursing evaluation within a week.

Takeaway

This study looked at how easy or hard it is for older people to get help at home when they need it, and found that many have trouble getting the care they need.

Methodology

A cross-sectional Secret Shopper study was conducted where a trained investigator contacted CHHAs using a standardized script.

Limitations

The study was limited to CHHAs in New York State and may not represent experiences in other regions.

Participant Demographics

Medicare beneficiaries and their caregivers seeking home care.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.4029

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