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

NIH-funded research Brown University · NIH-11191420

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 typeP01 program project
Study typeNIH-funded research
Funding institutionBrown University NIH-funded
Lab location1 site (Providence, United States)
Project IDNIH-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

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Alzheimer's disease and related dementiaAlzheimer's disease and related disordersAlzheimer's disease or a related dementiaAlzheimer's disease or a related disorderAlzheimer's disease or related dementia
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.