[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-426291-105":59,"doc-detail-426291-en":134},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":127,"head_meta":129,"extra_data":131,"updated_unix":133},105,"en","home-health-access-among-persons-with-dementia-traditional-medicare-vs-medicare-advantage-abstract","HOME HEALTH ACCESS AMONG PERSONS WITH DEMENTIA - Traditional Medicare vs. Medicare Advantage - Abstract","","Home health care (HHC) is a commonly used home and community-based service, especially for people living with dementia. This study compared HHC access pathways—community entry versus hospital entry—between individuals with and without dementia, and assessed how Medicare Advantage (MA) influenced access. Using 2019 OASIS home health assessment data linked to Medicare files, multivariate logistic regression adjusted for sociodemographic and clinical factors and agency clustering.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/home-health-access-among-persons-with-dementia-traditional-medicare-vs-medicare-advantage-abstract/426291/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/home-health-access-among-persons-with-dementia-traditional-medicare-vs-medicare-advantage-abstract/426291.png","ImageObject",300,407,{"name":92,"@type":93},"Mabel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-19","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"How did the study define and compare HHC access pathways?","Question",{"text":112,"@type":113},"It compared HHC access from two entry points: direct entry from the community versus entry following institutional care, primarily after hospitalization for acute care.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What role did Medicare Advantage (MA) play in HHC access?",{"text":117,"@type":113},"Among people with dementia, having MA was less likely than traditional Medicare (TM) to enter HHC from the community; among people without dementia, MA was more likely to enter from the community.",{"name":119,"@type":110,"acceptedAnswer":120},"What did the results show about community entry for people with dementia?",{"text":121,"@type":113},"People with dementia were significantly more likely to enter HHC directly from the community than those without dementia (60% vs. 37%, adjusted OR = 1.52).",{"name":123,"@type":110,"acceptedAnswer":124},"Why does the study emphasize monitoring community-entry HHC accessibility?",{"text":125,"@type":113},"Because community-entry HHC is important for high-need populations like people with dementia, and accessibility may change under a rapidly evolving healthcare system.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},426291,1791151919,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":143,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":67,"update_tm":147,"read_time":81},7971474920318,"https://ap-avatar.wpscdn.com/avatar/74000ee537e6b0ca360?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788430171632181674","Innovation in Aging, 2025, Vol. 9, No. S2 1071  \nAbstract citation ID: igaf122.3601  \nHOME HEALTH ACCESS AMONG PERSONS WITH  \nDEMENTIA: TRADITIONAL MEDICARE VS.  \nMEDICARE ADVANTAGE  \nChenjuan Ma, New York University, New York, New York, United States  \nHome health care (HHC) is the most used home and community-based service for community-dwelling Americans, particularly persons living with dementia. There are two ways of accessing HHC: entry directly from the community or following institutional care (primarily after hospitalization for acute care) . This study compared HHC access (community-entry vs.  \nhospital entry) between persons with and without dementia and examined the role of Medicare Advantage (MA) HHC access. It used 2019 national home health assessment data (i.e., OASIS) linked to the Medicare Beneficiary Summary File. Multivariate logistic regression was used in the analysis, adjusted for patient sociodemographic and clinical conditions, and considering clustering within each agency. Of the 3,174,874 home health episodes in 2019, 42% were community-entry HHC, 22% were from persons with dementia, and 35% were from MA beneficiaries. Persons with dementia were more likely to be traditional Medicare (TM) beneficiaries (31% TM with dementia vs. 6% MA with dementia) . Persons with dementia were significantly more likely to enter HHC directly from the community (60% vs. 37%, adjusted OR = 1.52, 95% CI = 1.50-1.53). Among persons with dementia, having MA was less likely to enter HHC from the community (adjusted OR = 0.93, 95% CI = 0.90-0.95), compared to having TM; while among persons without dementia, having MA was more likely to enter HHC from the community (adjusted OR = 1.08, 95% CI = 1.06-1.11) . This study indicates the importance of community-entry HHC for high-need populations such as persons with dementia. It highlights the need for continuing monitoring of community-entry HHC accessibility under a rapidly changing healthcare system.","cbCaitjQBV282DQH","https://ap.wps.com/l/cbCaitjQBV282DQH","pdf",945833,"English","# Study objective\n## Data and methods\n## Key findings\n## Implications","[{\"question\":\"How did the study define and compare HHC access pathways?\",\"answer\":\"It compared HHC access from two entry points: direct entry from the community versus entry following institutional care, primarily after hospitalization for acute care.\"},{\"question\":\"What role did Medicare Advantage (MA) play in HHC access?\",\"answer\":\"Among people with dementia, having MA was less likely than traditional Medicare (TM) to enter HHC from the community; among people without dementia, MA was more likely to enter from the community.\"},{\"question\":\"What did the results show about community entry for people with dementia?\",\"answer\":\"People with dementia were significantly more likely to enter HHC directly from the community than those without dementia (60% vs. 37%, adjusted OR = 1.52).\"},{\"question\":\"Why does the study emphasize monitoring community-entry HHC accessibility?\",\"answer\":\"Because community-entry HHC is important for high-need populations like people with dementia, and accessibility may change under a rapidly evolving healthcare system.\"}]","HOME HEALTH ACCESS AMONG PERSONS WITH DEMENTIA - Traditional Medicare vs. Medicare Advantage - Abstract | PDF",1790640111]