Medicare payment changes and home health care for people with Alzheimer's and related dementias
Implications of the Patient-Driven Grouping Model on Home Health Care Utilization and Outcomes for Persons with Alzheimer's and Related Dementias
This project looks at how a major Medicare payment change (the PDGM) changed home health use and outcomes for people living with Alzheimer's and related dementias.
Quick facts
| Grant type | P01 program project |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Brown University NIH-funded |
| Lab location | 1 site (Providence, United States) |
| Project ID | NIH-11191420 on NIH RePORTER |
What this research studies
As a person with Alzheimer's or a caregiver, you may be affected by how Medicare pays for home health visits. The team examines national Medicare home health records from before and after the Patient-Driven Groupings Model began in 2020 to see changes in who gets services, how long episodes last, and patient outcomes. They compare people with ADRD to those without ADRD and separate community-initiated care from post-acute care. Statistical analysis of claims data will be used to track patterns and differences over time.
Who could benefit from this research
Good fit: People with Alzheimer's disease or related dementias who receive or are eligible for Medicare-covered home health services—especially those getting community-initiated care or long home health episodes—are most relevant to this work.
Not a fit: People who do not have Medicare, who do not receive home health services, or whose care is entirely inpatient are unlikely to be affected by this project's findings.
Why it matters
Potential benefit: If successful, the work could clarify whether payment rules help or hurt access to appropriate home health services for people with ADRD and inform policy changes to improve care.
How similar studies have performed: Previous research has shown that people with ADRD use longer and more community-initiated home health care than others, but the effects of the PDGM payment change are a newer area that this analysis addresses.
Where this research is happening
Providence, United States
- Brown University — Providence, United States (Active)
Researchers
- Principal investigator: Rahman, Md Momotazur — Brown University
- Study coordinator: Rahman, Md Momotazur
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page below.