Falling behind: The growth of frail, high‐need beneficiaries receiving home based primary care in traditional Medicare 2014–2021

Author:

Lally Tom1,Johnson Emily1,Deligiannidis Konstantinos E.2,Taler George3,Boling Peter4,Yao Aaron56,Kubisiak Joanna7,Lee Angelina7,Kinosian Bruce89ORCID

Affiliation:

1. Bloom Health Denver Colorado USA

2. Department of Family Medicine Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Manhasset New York USA

3. Geriatrics and Senior Services, Medstar Health Baltimore Maryland USA

4. Division of Geriatrics Virginia Commonwealth University Richmond Virginia USA

5. Section of Geriatrics University of Virginia School of Medicine Charlottesville Virginia USA

6. Home Centered Care Institute Schaumberg Illinois USA

7. Westat Rockville Maryland USA

8. Division of Geriatrics, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA

9. Leonard Davis Institute of Health Economics University of Pennsylvania Philadelphia Pennsylvania USA

Publisher

Wiley

Reference9 articles.

1. Independence at Home: After 10 years of evidence, it's time for a permanent Medicare program

2. PY.GPDC financial results Fact Sheet.2022.https://www.cms.gov/global‐and‐professional‐direct‐contracting‐gpdc‐model‐performance‐year‐2022‐financial‐and‐quality

3. High needs criteria in High Need Accountable Care Organization Realizing Equity, Access, and Community Health inequitably limits access to equally high‐need Medicare beneficiaries

4. The Willie Sutton effect in health care: independence at home qualifying (IAH‐Q) criteria identify high need, high cost Medicare beneficiaries;Kinosian B;J Am Geriatrics,2016

5. https://www.cms.gov/files/document/shared‐savings‐losses‐assignment‐spec‐v8.pdf‐0

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