The Effects of Home Health Value-Based Purchasing on Home Health Care Quality in For-Profit and Nonprofit Agencies: A Comparative Interrupted Time-Series Analysis, 2012–2018
Beginning in 2016, the Home Health Value-Based Purchasing (HHVBP) model incentivized U.S. Medicare-certified home health agencies (HHAs) in nine states to improve quality of patient care and patient experience. Here, we quantified HHVBP effects upon quality over time (2012–2018) by HHA ownership (i....
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| Veröffentlicht in: | Medical care research and review 2022-06, Vol.79 (3), p.414-427 |
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| creator | Perera, Uduwanage Gayani E. Dick, Andrew W. Chastain, Ashley M. Stone, Patricia W. Shang, Jingjing |
| description | Beginning in 2016, the Home Health Value-Based Purchasing (HHVBP) model incentivized U.S. Medicare-certified home health agencies (HHAs) in nine states to improve quality of patient care and patient experience. Here, we quantified HHVBP effects upon quality over time (2012–2018) by HHA ownership (i.e., for-profit vs. nonprofit) using a comparative interrupted time-series design. Our outcome measures were Care Quality and Patient Experience indices composed of 10 quality of patient care measures and five patient experience measures, respectively. Overall, 17.7% of HHAs participated in the HHVBP model of which 81.4% were for-profit ownership. Each year after implementation, HHVBP was associated with a 1.59 (p < .001) percentage point increase in the Care Quality index among for-profit HHAs and a 0.71 (p = .024) percentage point increase in the Patient Experience index among nonprofits. The differences of quality improvement under the HHVBP model by ownership indicate variations in HHA leadership responses to HHVBP. |
| doi_str_mv | 10.1177/10775587211049628 |
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| subjects | Aged Government programs Health care Home Care Agencies Home Care Services Home health care Humans Leadership Medicare Nonprofit organizations Ownership Patients Private sector Purchasing Quality control Quality management Quality of care Quality of Health Care Time series United States Value-based care Value-Based Purchasing |
| title | The Effects of Home Health Value-Based Purchasing on Home Health Care Quality in For-Profit and Nonprofit Agencies: A Comparative Interrupted Time-Series Analysis, 2012–2018 |
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