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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... CMS uses the HOS-M results to adjust Medicare capitation rates paid to these plans, taking the frailty of the enrollees into account... 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... 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
Individual Activity of Daily Living (ADL) ImpairmentsProgram of All Inclusive Care for the Elderly (PACE) enrollees have high levels of impairment on each individual ADL. Eighty percent reported having difficulty with walking or being unable to walk.Medicare Health Outcomes Survey-Modified (HOS-M) respondents have the most difficulty walking, followed by bathing and transferring.Although a smaller proportion of the HOS-M respondents have trouble with eating and toileting, the rates of impairment in these tasks are substantial.
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f4-hcfr-29-04-081: Individual Activity of Daily Living (ADL) ImpairmentsProgram of All Inclusive Care for the Elderly (PACE) enrollees have high levels of impairment on each individual ADL. Eighty percent reported having difficulty with walking or being unable to walk.Medicare Health Outcomes Survey-Modified (HOS-M) respondents have the most difficulty walking, followed by bathing and transferring.Although a smaller proportion of the HOS-M respondents have trouble with eating and toileting, the rates of impairment in these tasks are substantial.


Functional impairment levels in PACE enrollees.

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

Individual Activity of Daily Living (ADL) ImpairmentsProgram of All Inclusive Care for the Elderly (PACE) enrollees have high levels of impairment on each individual ADL. Eighty percent reported having difficulty with walking or being unable to walk.Medicare Health Outcomes Survey-Modified (HOS-M) respondents have the most difficulty walking, followed by bathing and transferring.Although a smaller proportion of the HOS-M respondents have trouble with eating and toileting, the rates of impairment in these tasks are substantial.
© Copyright Policy
Related In: Results  -  Collection

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

f4-hcfr-29-04-081: Individual Activity of Daily Living (ADL) ImpairmentsProgram of All Inclusive Care for the Elderly (PACE) enrollees have high levels of impairment on each individual ADL. Eighty percent reported having difficulty with walking or being unable to walk.Medicare Health Outcomes Survey-Modified (HOS-M) respondents have the most difficulty walking, followed by bathing and transferring.Although a smaller proportion of the HOS-M respondents have trouble with eating and toileting, the rates of impairment in these tasks are substantial.

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... CMS uses the HOS-M results to adjust Medicare capitation rates paid to these plans, taking the frailty of the enrollees into account... 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... 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