What’s Happening at Home
A Claims-based Approach to Better Understand Home Clinical Care Received by Older Adults
Bibliographic Data
| ID | 9104698 |
|---|---|
| Authors | Krista L Harrison (0000-0001-5373-3011, University of California, San Francisco, corresponding author), Bruce Leff (0000-0003-1714-7458, Center for Transformative Geriatric Research, Division of Geriatric Medicine, Johns Hopkins University School of Medicine, Baltimore, MD), Aylin Altan (0000-0001-8723-5782, Optum Labs, Eden Prairie, MN), Stephan Dunning (0000-0003-3109-0136, Optum Labs, Eden Prairie, MN), Casey R Patterson (Optum Labs, Cambridge, MA), Christine S Ritchie (0000-0002-4881-9416, University of California, San Francisco) |
| Year | 2020 |
| Volume | 58 |
| Issue | 4 |
| Pages | 360-367 |
| Publication date | 2020-04-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001267 |
| PMID | 31876645 |
| OpenAlex | W2998104262 |
| Language | EN |
| Citations received | 1 |
| References cited | 26 |
BACKGROUND: Home clinical care (HCC) includes home-based medical care (HBMC-medical visits in the home) and skilled home health care (skilled nursing or therapy visits). Over 7 million older adults would benefit from HCC; however, we know surprisingly little about homebound older adults and HCC. OBJECTIVE: To describe HCC received by older adults using claims data within the OptumLabs Data Warehouse. RESEARCH DESIGN: Using administrative claims data for commercial and Medicare Advantage enrollees, we describe morbidity profiles, health service use, and care coordination (operationalized as care plan oversight [CPO]) for people receiving HCC and the subgroup receiving HBMC. PARTICIPANTS: Three million adults (3,027,247) age ≥65 with 12 months of continuous enrollment 2013-2014. MEASURES: CPT or HCPCS codes delineated HCC, HBMC, and CPO recipients and care site, frequency, and provider type. Other measures included demographic characteristics, clinical characteristics, and health care utilization. RESULTS: Overall, 5% of the study population (n=161,801) received 2+ months of HCC visits; of these, 46% also received 2+ HBMC visits (n=73,638) while 54% received only skilled home health (n=88,163 HCC but no HBMC). HBMC-recipients had high comorbidity burden (Charlson score 4.3), dementia (35%), and ambulance trips (58%), but few nursing facility admissions (4.9%). Evidence of care coordination (CPO claims) occurred in 30% of the HCC population, 46% of HBMC, and 17% of the skilled home health care only. CONCLUSIONS: Approximately 1 of 20 older adults in this study received HCC; 30% or less have a claim for care coordination by their primary care provider
Comorbidity · Dementia · Environmental health · Family medicine · Health care · Operationalization · Population · Psychiatry · Chronic Disease Management Strategies · Frailty in Older Adults · Geriatric Care and Nursing Homes · Internal Medicine · Medicine · Gerontology
| Unique citing works | 1 |
|---|---|
| Citations per year | 0.5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |