To examine the associations of the Home Health Value-Based Purchasing (HHVBP) program with the volume and type of services delivered in the first 30 days of home health episodes among Medicare beneficiaries with Alzheimer's disease and related dementias (ADRD), highlighting its significance for vulnerable populations.
Key Findings:
HHVBP is associated with changes in the frequency of nursing and therapy visits, with specific data to be included.
Variations in service volume may exist based on patient race, ethnicity, or dual-eligibility status.
Persistent racial and ethnic differences in the frequency of postacute home health services were documented.
Interpretation:
The study highlights the need to understand how value-based purchasing impacts service delivery for vulnerable populations, particularly those with ADRD, and its implications for policy.
Limitations:
The study is retrospective and may not capture all variables influencing care delivery.
Findings may not be generalizable beyond the selected states and populations. Future research should explore these variables further.
Conclusion:
Understanding the implications of HHVBP on home health services for older adults with ADRD is crucial for ensuring equitable care delivery and addressing disparities.
