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The Gerontologist, Vol 39, Issue 1 16-24, Copyright © 1999 by The Gerontological Society of America

ARTICLES

Long-term admissions to home health agencies: a life table analysis

VA Freedman
RAND, Washington, DC 20005, USA. [email protected]

This article uses the first national survey of home health agencies and their patients to characterize the complete length-of-use distribution for an elderly admissions cohort. Of the 26 million older Americans admitted to home health agencies in 1992, 36% received care for at least three months, 22% for at least six months, and 15% for at least one year. Analyses suggest that one-year limits on Medicare's home health benefit would have affected a relatively small percentage of new admissions (less than 13%) but would have amounted to 300,000 or so beneficiaries in 1992. In contrast, proposals to limit Medicaid would have affected a more substantial proportion of home health agency admissions (about one fourth) but only a relatively small number of older Americans (30,000 in 1992). Such length of use limits would also disproportionately affect those at highest risk for nursing home admission: very old, unmarried, minority women with relatively unstable chronic conditions.


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Copyright © 1999 by The Gerontological Society of America.