Resource
Studies
Annals of Internal Medicine: Early Uptake of the Acute Hospital Care at Home Waiver
Annals of Internal Medicine: Early Uptake of the Acute Hospital Care at Home Waiver
Hospital at home (HaH) provides acute hospital-level care in a patient’s home as a substitute for traditional inpatient hospital care. Despite a robust evidence base, dissemination of HaH has been limited. One important barrier to scaling HaH has been the lack of a payment mechanism in […]
Avalere: Home Care Services Reduce Medicare Spending for 30 Chronic Conditions
Avalere – Home Care Services Reduce Medicare Spending for 30 Chronic Conditions
Demonstrating a positive impact on clinical and economic outcomes has been a long-standing challenge for the home care industry due to fragmented care standards across states, the lack of standardized measures in personal care, and limited access to claims data that would enable home health agencies that support […]
Health Affairs: Outcomes After Shortened Skilled Nursing Facility Stays Suggest Potential for Improving Post Acute Care Efficiency
Health Affairs: Outcomes After Shortened Skilled Nursing Facility Stays Suggest Potential for Improving Post Acute Care Efficiency
Reducing postacute care in skilled nursing facilities (SNFs) in favor of home-based care is a leading cost-saving strategy in new payment models. Marked reductions in length-of-stay because of cost sharing shifted patients to home more than a week earlier than expected without cost […]
JAMA: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient
JAMA: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient
The ability to treat patients at home for common conditions—heart failure, chronic obstructive pulmonary disease (COPD), asthma, and uncomplicated infections such as cellulitis, for example—has been a tool to expand capacity during the pandemic. But research also suggests that providing acute care at home increases patient satisfaction, reduces costs, […]
Journal of the American Geriatrics Society: Hospital at Home Services: An Inventory of Fee-for-Service Payments to Inform Medicare Reimbursement
Journal of the American Geriatrics Society: Hospital at Home Services: An Inventory of Fee-for-Service Payments to Inform Medicare Reimbursement
Hospital at Home (HaH) is a growing model of care with proven patient benefits. However, for the types of services required to provide an episode of HaH, full Medicare reimbursement is traditionally paid only if care is provided in inpatient facilities. […]
Health Affairs: In Traditional Medicare, Modest Growth In The Home Care Workforce Largely Driven By Nurse Practitioners
Health Affairs: In Traditional Medicare, Modest Growth In The Home Care Workforce Largely Driven By Nurse Practitioners
Little is known about the characteristics of the workforce providing home-based medical care for traditional (fee-for-service) Medicare beneficiaries. This study found that the number of participating home care providers in traditional Medicare increased from about 14,100 in 2012 to around 16,600 in 2016. […]
The Gerontologist – Acute, Post-acute, and Primary Care Utilization in a Home-Based Primary Care Program During COVID-19
The Gerontologist – Acute, Post-acute, and Primary Care Utilization in a Home-Based Primary Care Program During COVID-19: (February, 2021) – Changes in care utilization by persons in advanced illness management (AIM) programs demonstrate decreased acute and post-acute utilization, while maintaining high levels of connectedness among a cohort of homebound older adults during the COVID-19 pandemic compared with 1 year prior.
CJASN – The Mobile Health Readiness of People Receiving In-Center Hemodialysis and Home Dialysis
CJASN – The Mobile Health Readiness of People Receiving In-Center Hemodialysis and Home Dialysis
A study of nearly 1,000 patients examined the status and correlates of mobile health readiness among individuals on dialysis. The study found 81 percent of respondents owned smartphones or other internet-capable devices, and 70 percent reported intermediate or advanced mobile health proficiency. The results suggest that patients were […]
An Integrated Mobile Acute Care Service Enhances Value
An Integrated Mobile Acute Care Service Enhances Value
A study on DispatchHealth’s ER model in the home with Baystate Health. In-home mobile care for high-acuity illness can prevent unnecessary ED and hospital use for some patients and is associated with high patient satisfaction. Acute mobile care is a useful component of a value-based care strategy.
Home Care Association of America: The Value of Home Care
Home Care Association of America: Caring for America’s Seniors: The Value of Home Care
Caring for America’s Seniors: The Value of Home Care provides information on the growing and critical role of professional home care in the United States in response to the millions of aging Americans who will need care. The report shines a spotlight on home care as a […]
Agency for Healthcare Research and Quality: Home-Based Primary Care Interventions
Agency for Healthcare Research and Quality: Home-Based Primary Care Interventions
The comparative effectiveness report showed that hospital-at-home patients had an 8.6 percent lower 30-day readmission rate compared to 15.6 percent readmission rate for the control group of acute-care hospital patients. Additionally, hospital-at-home patients had an 5.8 percent 30-day emergency department re-visit rate versus an 11.7 percent emergency department revisit rate […]