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This study examines national traditional Medicare data from 2016 to 2022 to quantify how HBMC provider supply and visit structure changed over time. Analyses classify HBMC versus non-HBMC settings and assess exclusivity, care setting, provider type, visit volume, geographic variation, and payment differences. Results show rising providers and visits alongside major shifts in composition.",{"@graph":69,"@context":122},[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/the-changing-landscape-of-the-providers-of-home-based-medical-care-in-traditional-medicare/445021/",{"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/the-changing-landscape-of-the-providers-of-home-based-medical-care-in-traditional-medicare/445021.png","ImageObject",300,407,{"name":92,"@type":93},"jayni","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-05","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What question does the study address about home-based medical care (HBMC)?","Question",{"text":112,"@type":113},"It evaluates how the HBMC workforce changed from 2016 to 2022 by analyzing national traditional Medicare data on provider structure and visit patterns.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were HBMC and non-HBMC services defined in the analysis?",{"text":117,"@type":113},"Visits were classified as HBMC when delivered in a private residence or assisted living facility, and as non-HBMC when delivered in an office or via telemedicine.",{"name":119,"@type":110,"acceptedAnswer":120},"What major provider-type shifts occurred between 2016 and 2022?",{"text":121,"@type":113},"Nurse practitioners increased substantially (from 42.2% to 63.0%), physician assistants rose modestly (from 6.6% to 8.2%), and physicians declined markedly (from 51.3% to 28.9%).","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},445021,1790794562,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},3985747859343,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Journal of the American Geriatrics Society Journal of the  \nAmerican Geriatrics Society  \nThe Changing Landscape of the Providers of Home-Based Medical Care in Traditional Medicare  \nAmresh D. Hanchate1  | Mia Yang2,3 | Stephanie K. Nothelle4  | Lindsey Abdelfattah1 | Michael P. Bancks5  | Emilie D. Duchesneau5  | Zhang Zhang6 | Bruce Kinosian7  \n1Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina, USA | 2Section of Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA | 3Atrium Health Neuroscience-Charlotte, Concord, North Carolina, USA | 4Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA | 5Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina,  \nUSA | 6Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland,  \nUSA | 7Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA Correspondence: Amresh D. Hanchate ([ahanchat@wakehealth.edu](ahanchat@wakehealth.edu))  \nReceived: 28 August 2025 | Revised: 23 October 2025 | Accepted: 29 October 2025  \nFunding: This work was supported by the National Institute on Aging (1R56AG089009) .  \nKeywords: assisted living facility | homebound | home-based medical care | home-based primary care | nurse practitioner | physician | physician assistant | private residence | traditional Medicare  \nABSTRACT  \nBackground: As more older adults become homebound, home-based medical care (HBMC) has increased, but little is known about the HBMC workforce. This study analyzes national data on the size and structural features of HBMC providers from 2016 to 2022.  \nMethods: We analyzed annual primary care data for all traditional Medicare enrollees, classifying visits as HBMC (private residence or assisted living facility [ALF]) or non-HBMC (office or telemedicine) . We evaluated trends in HBMC providers and visits by HBMC practice exclusivity (only-HBMC or both HBMC and non-HBMC), care setting (private residence, ALF), provider type (physician, nurse practitioner [NP], physician assistant [PA]), and visit volume. We assessed geographic variation in HBMC's share of primary care and payment differences between HBMC and non-HBMC services.  \nResults: In 2022, 16,125 of 304,326 (5%) primary care clinicians delivered 5.6 million HBMC visits, with most visits (66%) in ALFs. From 2016 to 2022, HBMC providers increased by 40% and visits by 29%. The proportion of only-HBMC providers rose from 50.2% to 61.7%, whereas providers with volume > 1000 visits/year fell from 46.8% to 38.9% . The increase in providers was higher in private residences (49%) than ALFs (33%), though average provider volume decreased in private residences (−24%) and rose in ALFs (7%) . NPs among HBMC providers increased from 42.2% to 63.0%, PAs from 6.6% to 8.2%, and physicians dropped from 51.3% to 28.9%. HBMC's share of all visits increased from 3.9% to 5.4%, driven more by ALF visits. Non-HBMC service payments grew faster than those for HBMC services.  \nConclusions: Against the backdrop of an expanding HBMC workforce and rising visit volumes from 2016 to 2022, our findings highlight significant shifts in the structural composition of providers. These shifts emphasize the need for ongoing research to address their implications for access, quality, and outcomes in homebound older adults.  \nThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-comme","cbCaiarXUfFYT3wl","https://ap.wps.com/l/cbCaiarXUfFYT3wl","pdf",444381,"English","# Abstract\n## Background\n## Methods\n## Results\n## Conclusions\n# Summary\n## Key points\n## Why does this paper matter?\n# Introduction","[{\"question\":\"What question does the study address about home-based medical care (HBMC)?\",\"answer\":\"It evaluates how the HBMC workforce changed from 2016 to 2022 by analyzing national traditional Medicare data on provider structure and visit patterns.\"},{\"question\":\"How were HBMC and non-HBMC services defined in the analysis?\",\"answer\":\"Visits were classified as HBMC when delivered in a private residence or assisted living facility, and as non-HBMC when delivered in an office or via telemedicine.\"},{\"question\":\"What major provider-type shifts occurred between 2016 and 2022?\",\"answer\":\"Nurse practitioners increased substantially (from 42.2% to 63.0%), physician assistants rose modestly (from 6.6% to 8.2%), and physicians declined markedly (from 51.3% to 28.9%).\"}]","The Changing Landscape of the Providers of Home-Based Medical Care in Traditional Medicare | PDF",1790710078,25]