Home Health Value-Based Purchasing and Postacute Home Health Visits Among Older Adults With Dementia

What is the association between Home Health Value-Based Purchasing (HHVBP) programs and the volume of nursing and therapy services received within 30 days of home health initiation after hospital discharge among Medicare beneficiaries with Alzheimer disease and related dementias (ADRD)?In this cohort study of 264 601 Medicare beneficiaries with ADRD, residence in a state with an HHVBP program was associated with 0.46 fewer nursing visits and 0.32 more therapy visits.These findings suggest that VBP models could reduce differences in postacute care.

Corresponding Author: Ming-Ting Yang, PhD, Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, 17 E 102nd St, New York, NY 10029 (ming-ting.yang@mountsinai.org).

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