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Disparities in home health service providers among Medicare beneficiaries with stroke.

Authors
  • Iyer, Medha1
  • Bhavsar, Grishma P2
  • Bennett, Kevin J3, 4
  • Probst, Janice C4
  • 1 a Department of Psychiatry , University of Tennessee Health Sciences Center , Memphis , Tennessee , USA.
  • 2 b Department of Health Sciences , California State University, Northridge , Northridge , California , USA.
  • 3 c South Carolina Rural Health Research Center, Arnold School of Public Health , University of South Carolina , Columbia , South Carolina , USA.
  • 4 d Department of Family and Preventive Medicine, School of Medicine , University of South Carolina , Columbia , South Carolina , USA.
Type
Published Article
Journal
Home health care services quarterly
Publication Date
Jan 01, 2016
Volume
35
Issue
1
Pages
25–38
Identifiers
DOI: 10.1080/01621424.2016.1175991
PMID: 27064307
Source
Medline
Keywords
License
Unknown

Abstract

This study examined the intensity of home health services, as defined by the number of visits and service delivery by rehabilitation specialists, among Medicare beneficiaries with stroke. A cross-sectional secondary data analysis was conducted using 2009 home health claims data obtained from the Centers for Medicare and Medicaid Services' Research Data Assistance Center. There were no significant rural-urban differences in the number of home health visits. Rural beneficiaries were significantly less likely than urban beneficiaries to receive services from rehabilitation specialists. Current home health payment reform recommendations may have unintended consequences for rural home health beneficiaries who need therapy services.

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