Differences in Home Health Services and Outcomes Between Traditional Medicare and Medicare Advantage

GAINING CLARITY: This research article, published in JAMA Health Forum, investigates the differences in home health services and outcomes between patients enrolled in traditional Medicare (TM) and Medicare Advantage (MA) plans. The authors’ findings suggest that MA patients generally receive fewer home health visits and shorter stays, leading to worse functional outcomes despite being more frequently discharged to the community. The study attributes these disparities to the cost-limiting incentives and administrative burdens often associated with MA plans.


Are there differences in service intensity and outcomes of home health care between Medicare Advantage and traditional Medicare?

Findings In this cross-sectional study of 178,195 traditional Medicare and 107,102 Medicare Advantage patients, Medicare Advantage patients had shorter home health lengths of stay and fewer nursing, therapy, and aide visits compared with similar patients with traditional Medicare. Medicare Advantage patients were more likely to be discharged to the community compared with Traditional Medicare but had lower likelihoods of improving in self-care and mobility function.

The results of this study suggest that Medicare Advantage patients receive fewer home health visits and have worse functional outcomes compared with traditional Medicare.

Keep Reading

Prusynski, R. A., D’Alonzo, A., Johnson, M. P., Mroz, T. M., & Leland, N. E. (2024). Differences in home health services and outcomes between traditional Medicare and Medicare Advantage. JAMA Health Forum, 5(3), e235454. https://doi.org/10.1001/jamahealthforum.2023.5454

News Coverage

O’Connor, J. (2024, April 18). MA’s cost-management tools may be hurting home healthcare quality, outcomes. McKnight’s Long-Term Care News. https://www.mcknights.com/news/mas-cost-management-tools-may-be-hurting-home-healthcare-quality-outcomes/

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