WHO PAYS FOR VETERANS’ POSTACUTE SKILLED HOME HEALTH CARE? A COMPARISON AMONG VA, MEDICARE, AND MEDICARE ADVANTAGE
2024

Who Pays for Veterans’ Post-Acute Skilled Home Health Care?

Sample size: 64347 publication

Author Information

Author(s): Daus Marguerite, Devone Frank, Corneau Emily, Magid Kate, Kennedy Katherine, Gozalo Pedro, Thomas Kali, Jones Christine

Primary Institution: Department of Veterans Affairs

Hypothesis

What factors influence whether Veterans receive post-acute home health care funded by the VHA or Medicare?

Conclusion

Veterans enrolled in Medicare Advantage have a significantly higher chance of having their post-acute home health care paid for by the VHA.

Supporting Evidence

  • Being enrolled in Medicare Advantage increases the probability of VHA paying for home health care by 28.05%.
  • Previous VHA-paid home health care episodes are associated with increased probability of VHA-paid care.
  • An admitting diagnosis of sepsis is a predictor for VHA-paid home health care.

Takeaway

This study looks at how different types of health insurance affect whether Veterans get help at home after leaving the hospital.

Methodology

Data from various sources for FY 2017-2019 was merged to analyze characteristics associated with VHA versus Medicare-funded home health care.

Participant Demographics

Veterans aged 66 years or older who were admitted to a VAMC for acute care hospitalization.

Statistical Information

Confidence Interval

95% CI: 27.12%, 28.96

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2155

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