Effect of Age-Friendly Care on Days at Home Post-Hospital Discharge for Traditional Medicare Patients: A Cross-Sectional Study.

• Tác giả: Ella Bowman, Bryanna De Lima, Kathleen Drago, Elizabeth Eckstrom, Alaina Ena, Sophie Rasmussen
• Ngôn ngữ: eng
• Ký hiệu phân loại: 363.737 Measures to prevent, protect against, limit effects of pollution
• Thông tin xuất bản: United States : Inquiry : a journal of medical care organization, provision and financing , 2025
• Bộ sưu tập: NCBI
• ID: 698453

Tóm tắt

The Bundled Payment for Care Improvement Advanced (BPCI-A) model encourages value-based care by bundling 90-day healthcare-related costs into a single payment for eligible service codes and procedures for traditional Medicare Part A and B beneficiaries. Our institution, an Age-Friendly Health Systems Level 2 certified academic health center, participated in the BPCI-A model from 2018 to 2022. This study aimed to determine differences in days spent at home in the 30- and 90-day post-hospitalization period for older patients in the BPCI-A program based on Age-Friendly care status. Descriptive analyses assessed differences among patients who received Age-Friendly care (n = 275) and those who did not (n = 348). Zero-one-inflated beta regression models with propensity score matching compared the probability of spending days at home between groups. Sensitivity analyses were conducted. Age-Friendly care recipients tended to be older males with non-emergent admissions and lower risk-adjusted mortality scores (