Medicare Advantage Approaches to Home Health Care
Author Information
Author(s): Gadbois Emily, Daus Marguerite, Jones Christine, Smith Jamie, Thomas Kali
Hypothesis
How do Medicare Advantage plans approach home health benefit design and provision?
Conclusion
Medicare Advantage plans generally prefer home settings for post-acute care but vary in their involvement in care management and service authorization.
Supporting Evidence
- Participants agreed that home is the preferred setting for post-acute care.
- Most Medicare Advantage plans take a hands-off approach to selecting the setting of post-acute care.
- Hospital discharge planners often engage with staff for help with difficult to place patients.
- There are substantial challenges facing the home health industry, particularly staffing concerns.
Takeaway
This study talks to people in charge of Medicare Advantage plans to see how they help patients get care at home after being in the hospital.
Methodology
In-depth, semi-structured interviews and content analysis.
Potential Biases
Potential bias from the perspectives of only a limited number of leaders in the field.
Limitations
The study may not represent all Medicare Advantage plans as it only includes insights from 18 leaders.
Participant Demographics
Leaders from various Medicare Advantage plans and care management companies.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website