Association between home health agency ownership status and discharge to community among Medicare beneficiaries

2021 ◽  
pp. 1-15
Author(s):  
Rashmita Basu ◽  
Bei Wu ◽  
Huabin Luo ◽  
Leeanna Allgood
Keyword(s):  
Health Agency ◽  
Home Health ◽  
Medicare Beneficiaries ◽  
Home Health Agency ◽  
Ownership Status

scholarly journals Home Health Agency Ownership and Quality of Care Outcomes Among Medicare Beneficiaries

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 22-22
Author(s):  
Rashmita Basu ◽  
Huabin Luo ◽  
Bei Wu
Keyword(s):  
Health Agency ◽  
Healthcare Services ◽  
Home Health ◽  
Home Healthcare ◽  
Healthcare Sector ◽  
Outcome Variable ◽  
Metropolitan Statistical Area ◽  
For Profit ◽  
Home Health Agency ◽  
Ownership Status

Abstract Medicare restructured home healthcare reimbursement from a cost-basis to a 60- day risk-based prospective payment system (PPS) in 2000 to implement the value-based payment model for home healthcare services. Currently home healthcare market in the U.S. is dominated by the presence of for-profit (FP) agencies instead of being primarily served by not-for-profit (NFP) agencies. Using data from the 2016-2018 OASIS for beneficiaries participated in the Medicare Current Beneficiary Survey (MCBS) (N=6,115), the current study examines whether home health agency ownership status is associated with length of stay (LOS) and discharge outcome Medicare home health care patients. Our first outcome variable is discharge status (modeled via ordered probit) with three categories: discharge to the community, inpatient hospital and other long-term care facilities. The second outcome variable is LOS and two dummy variables LOS ≤ 30 days and LOS ≥ 99 days were modeled via binary probit. The key independent variable was the ownership status of the agency (FP vs. NFP). Patient level covariates includes demographics (age, gender, race/ethnicity, marital status), comorbidity index, agency characteristics (metropolitan statistical area, hospital-based). Patients in FP agencies were 5.1% (p<0.01) less likely to discharge to community, 15.3% (p<0.001) less likely to have LOS ≤ 30 days but 7.5% (p<0.001) more likely to have LOS ≥ 99 higher compared to patients from NFP agencies under the PPS. Our results have important implications for clinicians, patients and healthcare professionals to be cognizant about the influence of agency ownership on the delivery of healthcare services in home healthcare sector.

Rosehedge: A home health agency and adult family home

1998 ◽  
Vol 9 (4) ◽  
pp. 56-57
Author(s):  
Sean Oslin ◽  
Connie Heavey ◽  
Priscilla Horner
Keyword(s):  
Health Agency ◽  
Home Health ◽  
Home Health Agency ◽  
Family Home

The Home Health Agency as a Cost Center

1995 ◽  
Vol 15 (3) ◽  
pp. 83-96 ◽  
Author(s):  
Neville Doherty ◽  
Sara Thal
Keyword(s):  
Health Agency ◽  
Home Health ◽  
Home Health Agency ◽  
Cost Center
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