This study used 2016-2019 Medicare Claims data to compare outcomes (hospitalizations, emergency department visits, days at home, and Medicare spending) between 380,000 Medicare-Medicaid dual eligibles in two settings: home and community-based services (HCBS) users in private homes, and in AL communities (ALCs). Of these individuals, 85% were home-dwelling and 15% were in ALCs. In-home HCBS users worse outcomes; they had a higher likelihood of hospitalizations and emergency department visits and fewer days at home, as well as higher Medicaid spending as compared with ALC residents.
Comparing Outcomes Among Medicaid Home and Community-Based Service Users: Private Homes vs. Assisted Living Facilities
This study used 2016-2019 Medicare Claims data to compare outcomes (hospitalizations, emergency department visits, days at home, and Medicare spending) between 380,000 Medicare-Medicaid dual eligibles in two settings: home and community-based services (HCBS) users in private homes, and in AL communities (ALCs). Of these individuals, 85% were home-dwelling and 15% were in ALCs. In-home HCBS users worse outcomes; they had a higher likelihood of hospitalizations and emergency department visits and fewer days at home, as well as higher Medicaid spending as compared with ALC residents.
