全球智库信息集成服务系统(G2TT): Evaluation of the Independence at Home Demonstration: An Examination of the First Four Years

G2TT

来源类型	Publication
	Evaluation of the Independence at Home Demonstration: An Examination of the First Four Years
	Laura Kimmey; Michael Anderson; Valerie Cheh; Evelyn Li; Catherine McLaughlin; Linda Barterian; Jay Crosson; Cara Stepanczuk; Lori Timmins; Jiaqi Li; Shannon Heitkamp; Christine Cheu; Tyler Fisher; Bonnie Harvey; Hope Johnson; Beny Wu; Sam Zhang; Mariel Finucane; and Angela Eckstein
发表日期	2019-05-23
出版者	Princeton, NJ: Mathematica Policy Research
出版年	2019
语种	英语
概述	This report describes the implementation and impacts of the Independence at Home demonstration over its first four years. Also, the report examines whether home-based primary care reduces Medicare expenditures and hospital use.",
摘要	Key Findings: The probability that the demonstration payment incentive decreased expenditures by at least $100 per beneficiary per month—about 2 percent of the average—over the course of four years was just 29 percent. We found no evidence that the demonstration payment incentive reduced hospital admissions or the probability of having an unplanned hospital readmission over the four-year demonstration period. However, emergency department visits and potentially avoidable hospitalizations decreased for IAH beneficiaries. Home-based primary care, as delivered in the Medicare program to chronically ill and functionally limited patients, did not lower Medicare expenditures relative to office-based care. Instead, we found that home-based primary care led to expenditures higher in total than those for comparison beneficiaries. This report describes the implementation and impacts of the Independence at Home (IAH) demonstration over its first four years. The report examines the effects of the demonstration payment incentive on: (1) Medicare expenditures and health care use; (2) how IAH practices changed the way they delievered care during the demonstration and whether those changes affected the quality of care; and (3) how IAH beneficiaries and their caregivers perceived the care they received. Also, the report assesses whether home-based primary care reduces Medicare expenditures and hospital use for chronically ill, functionally limited patients who start home-based primary care. Appendices.
URL	https://www.mathematica.org/our-publications-and-findings/publications/evaluation-of-the-independence-at-home-demonstration-an-examination-of-the-first-four-years
来源智库	Mathematica Policy Research (United States)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/489599
推荐引用方式 GB/T 7714	Laura Kimmey,Michael Anderson,Valerie Cheh,et al. Evaluation of the Independence at Home Demonstration: An Examination of the First Four Years. 2019.

条目包含的文件
文件名称/大小	资源类型	版本类型	开放类型	使用许可
iah yr4evalrpt.pdf（3762KB）	智库出版物		限制开放	CC BY-NC-SA	浏览