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Functional impairment levels in PACE enrollees.

Walsh EG, Khatutsky G, Johnson L - Health Care Financ Rev (2008)

View Article: PubMed Central - PubMed

Affiliation: RTI International, Waltham, MA 02451, USA. ewalsh@rti.org

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A variant of the Health Outcomes Survey, the Medicare Health Outcomes Survey-Modified (HOS-M) is a brief mixed mode annual survey (mail with telephone followup) specifically designed to collect functional status information from enrollees in the Program of All Inclusive Care for the Elderly (PACE) organizations or in the dually eligible beneficiaries demonstrations... The instrument is available in English, Spanish, and Chinese... Each year, RTI International draws the sample, works with smaller plans to develop their contact data files, and analyzes the resulting data... To participate in the HOS-M, PACE plans have to be operational for 1 year... Because the HOS-M is used to adjust Medicare payments for specific categories of enrollees, PACE individual enrollees are included in the HOS-M sample if they are age 55 or over, reside in the community, and do not have end stage renal disease; they also have to be enrolled in their respective plans for at least 1 full month... Presented here are the results for PACE enrollees only, although the HOS-M is also fielded to enrollees in the dually eligible demonstrations... PACE integrates long-term and chronic care with the standard Medicare acute care benefit package... Most PACE enrollees are dually eligible Medicare/Medicaid beneficiaries for whom PACE organizations receive monthly capitation payments from both Medicare and Medicaid... This response rate is similar to those for previous years... Thirty-two PACE plans participated in 2006 HOS-M... The entire eligible enrollment was included in the HOS-M sample for plans enrolling less than 1,400 beneficiaries (31 PACE plan) while we drew a sample of 1,000 eligible beneficiaries from the Medicare files for 1 PACE plan with larger enrollment.

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Mean Unadjusted VR-12 Physical Component and Mental Component Summary Scores (PCS and MCS)The average PCS score of the Program of All Inclusive Care for the Elderly (PACE) enrollees, all of whom have nursing home level of need, is 28.9, about 20 points lower than for the general population, signifying a subpopulation in relatively poor physical health.The MCS scores for PACE enrollees average around 44, signifying that PACE enrollees report better mental health than physical health; the scores are only 6 points lower than those of the general population.
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f2-hcfr-29-04-081: Mean Unadjusted VR-12 Physical Component and Mental Component Summary Scores (PCS and MCS)The average PCS score of the Program of All Inclusive Care for the Elderly (PACE) enrollees, all of whom have nursing home level of need, is 28.9, about 20 points lower than for the general population, signifying a subpopulation in relatively poor physical health.The MCS scores for PACE enrollees average around 44, signifying that PACE enrollees report better mental health than physical health; the scores are only 6 points lower than those of the general population.


Functional impairment levels in PACE enrollees.

Walsh EG, Khatutsky G, Johnson L - Health Care Financ Rev (2008)

Mean Unadjusted VR-12 Physical Component and Mental Component Summary Scores (PCS and MCS)The average PCS score of the Program of All Inclusive Care for the Elderly (PACE) enrollees, all of whom have nursing home level of need, is 28.9, about 20 points lower than for the general population, signifying a subpopulation in relatively poor physical health.The MCS scores for PACE enrollees average around 44, signifying that PACE enrollees report better mental health than physical health; the scores are only 6 points lower than those of the general population.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4195032&req=5

f2-hcfr-29-04-081: Mean Unadjusted VR-12 Physical Component and Mental Component Summary Scores (PCS and MCS)The average PCS score of the Program of All Inclusive Care for the Elderly (PACE) enrollees, all of whom have nursing home level of need, is 28.9, about 20 points lower than for the general population, signifying a subpopulation in relatively poor physical health.The MCS scores for PACE enrollees average around 44, signifying that PACE enrollees report better mental health than physical health; the scores are only 6 points lower than those of the general population.

View Article: PubMed Central - PubMed

Affiliation: RTI International, Waltham, MA 02451, USA. ewalsh@rti.org

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

A variant of the Health Outcomes Survey, the Medicare Health Outcomes Survey-Modified (HOS-M) is a brief mixed mode annual survey (mail with telephone followup) specifically designed to collect functional status information from enrollees in the Program of All Inclusive Care for the Elderly (PACE) organizations or in the dually eligible beneficiaries demonstrations... The instrument is available in English, Spanish, and Chinese... Each year, RTI International draws the sample, works with smaller plans to develop their contact data files, and analyzes the resulting data... To participate in the HOS-M, PACE plans have to be operational for 1 year... Because the HOS-M is used to adjust Medicare payments for specific categories of enrollees, PACE individual enrollees are included in the HOS-M sample if they are age 55 or over, reside in the community, and do not have end stage renal disease; they also have to be enrolled in their respective plans for at least 1 full month... Presented here are the results for PACE enrollees only, although the HOS-M is also fielded to enrollees in the dually eligible demonstrations... PACE integrates long-term and chronic care with the standard Medicare acute care benefit package... Most PACE enrollees are dually eligible Medicare/Medicaid beneficiaries for whom PACE organizations receive monthly capitation payments from both Medicare and Medicaid... This response rate is similar to those for previous years... Thirty-two PACE plans participated in 2006 HOS-M... The entire eligible enrollment was included in the HOS-M sample for plans enrolling less than 1,400 beneficiaries (31 PACE plan) while we drew a sample of 1,000 eligible beneficiaries from the Medicare files for 1 PACE plan with larger enrollment.

Show MeSH