Impact of Value-Based Purchase Model on Racial Disparities in Home Health Care
Author Information
Author(s): Ma Chenjuan, Wu Shaohui, Fletcher Jason
Primary Institution: New York University
Hypothesis
This study aimed to examine racial/ethnic disparities in accessing high quality home healthcare among persons living with dementia and identify the impact of the home health value-based purchasing model on these disparities.
Conclusion
The study found that while racial/ethnic disparities in accessing high quality home healthcare exist, the home health value-based purchasing model helps reduce these disparities.
Supporting Evidence
- Blacks were 2% more likely to access high quality care compared to Whites.
- Hispanics and Asians were about 20% less likely to access high quality care compared to Whites.
- HHVBP increased the odds of accessing high quality home healthcare for all racial/ethnic groups.
Takeaway
This study looked at how different races get access to good home healthcare for people with dementia, and found that a new payment model helps everyone get better care.
Methodology
The study used two years of CMS home health care assessment data and compared care quality based on agency ratings.
Participant Demographics
The sample included 80.9% White, 11.9% Black, 5.6% Hispanic, and 1.6% Asian individuals living with dementia.
Digital Object Identifier (DOI)
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