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Uninsured patients had the lowest odds of facility versus home discharge and home healthcare discharge versus home without home healthcare.
The findings were for adult Medicaid patients, although the cost savings may not sustain the case management program.
Rural home health care agencies perform better on process measures; urban agencies perform better on outcome measures.
The home care workforce increased from 2008 to 2013, but growth slowed from 2013 to 2019 while demand increased continuously.
Metabolic agents were the most costly category; antidiabetic agents were the mostly costly therapeutic area.
Plan will include 20 separate actions to improve nursing home quality
The increase was due to 36% increase in federal expenditures, mainly in response to the COVID-19 pandemic.
Despite increases in units per prescription, the amount of buprenorphine dispensed to Medicaid beneficiaries decreased early in the pandemic.
The risks for disability and transition to probable dementia increased after an ICU stay for seniors with dual eligibility for Medicare and Medicaid.
The authors say that the lower use of registered nurses likely drives differences in hospitalization and emergency department use.