National Healthcare Quality and Disparities Report
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 3 of 3 Research Studies DisplayedNeprash HT, Zink A, Sheridan B
The effect of Medicaid expansion on Medicaid participation, payer mix, and labor supply in primary care.
AHRQ-funded; HS024455.
Citation: Neprash HT, Zink A, Sheridan B .
The effect of Medicaid expansion on Medicaid participation, payer mix, and labor supply in primary care.
J Health Econ 2021 Dec;80:102541. doi: 10.1016/j.jhealeco.2021.102541..
Keywords: Medicare, Healthcare Utilization, Primary Care, Workforce, Health Insurance
Keeney T, Joyce NR, Meyers DJ
Persistence of high-need status over time among fee-for-service Medicare beneficiaries.
This study looked outcomes of fee-for-service (FFS) Medicare beneficiaries identified as high-need (HN). The authors used national-level claims data to classify FFS beneficiaries as HN annually among continuously enrolled beneficiaries between 2013 and 2015. They categorized longitudinal patterns in HN status into being never, newly, transiently, and persistently HN and examined differences in patients’ demographic characteristics and outcomes. Beneficiaries were found to break up into 4% persistently HN, 13% transiently HN, and 6% newly HN. Beneficiaries classified as persistently HN had higher mortality, utilization and expenditures, but classification as HN at any time was associated with poor outcomes.
AHRQ-funded; HS000011.
Citation: Keeney T, Joyce NR, Meyers DJ .
Persistence of high-need status over time among fee-for-service Medicare beneficiaries.
Med Care Res Rev 2021 Oct;78(5):591-97. doi: 10.1177/1077558719901219..
Keywords: Medicare, Healthcare Utilization
Burgdorf JG, Stuart EA, Arbaje AI
Family caregiver training needs and Medicare home health visit utilization.
This study looked at family caregiver training needs and Medicare home health visit utilization. Medicare home health providers are now required to give family caregiver training, but service intensity is not known. This observational study linked National Health and Aging Trends Study (NHATS), Outcomes and Assessment Information (OASIS), and Medicare claims data to evaluate the relationship between caregivers’ training needs and number/type of home health visits. A total of 1217 NHATS participants receiving Medicare-funded home health between 2011 and 2016 were included. Nurse visits were more likely when family caregivers had medication management or household chore training needs. Therapy visits were more likely when caregivers had self-care training needs. Aide visits were more likely when caregivers had household chore or self-care training needs. Medication management training needs resulted in an additional 1.06 nursing visits, and household chore training an additional 3.24 total and a subset of 1.32 aide visits.
AHRQ-funded; HS000029.
Citation: Burgdorf JG, Stuart EA, Arbaje AI .
Family caregiver training needs and Medicare home health visit utilization.
Med Care 2021 Apr;59(4):341-47. doi: 10.1097/mlr.0000000000001487..
Keywords: Caregiving, Elderly, Home Healthcare, Medicare, Training, Healthcare Utilization