{"id":"https://openalex.org/W4392359705","doi":"https://doi.org/10.1001/jamahealthforum.2023.5454","title":"Differences in Home Health Services and Outcomes Between Traditional Medicare and Medicare Advantage","display_name":"Differences in Home Health Services and Outcomes Between Traditional Medicare and Medicare Advantage","publication_year":2024,"publication_date":"2024-03-01","ids":{"openalex":"https://openalex.org/W4392359705","doi":"https://doi.org/10.1001/jamahealthforum.2023.5454","pmid":"https://pubmed.ncbi.nlm.nih.gov/38427341","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10907922"},"language":"en","primary_location":{"id":"doi:10.1001/jamahealthforum.2023.5454","doi":"https://doi.org/10.1001/jamahealthforum.2023.5454","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamahealthforum.2023.5454","pdf_url":"https://jamanetwork.com/journals/jama-health-forum/articlepdf/2815745/prusynski_2024_oi_230105_1709231867.95661.pdf","source":{"id":"https://openalex.org/S4210223698","display_name":"JAMA Health Forum","issn_l":"2689-0186","issn":["2689-0186"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","oarl","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Health Forum","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://jamanetwork.com/journals/jama-health-forum/articlepdf/2815745/prusynski_2024_oi_230105_1709231867.95661.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5044932079","display_name":"Rachel A. Prusynski","orcid":"https://orcid.org/0000-0002-9376-2041","observed_orcids":["https://orcid.org/0000-0002-9376-2041"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Rachel A. Prusynski","raw_affiliation_strings":["Department of Rehabilitation Medicine, University of Washington, Seattle"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Rehabilitation Medicine, University of Washington, Seattle","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5094044578","display_name":"Anthony D\u2019Alonzo","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anthony D\u2019Alonzo","raw_affiliation_strings":["BAYADA Home Health Care, Moorestown, New Jersey"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BAYADA Home Health Care, Moorestown, New Jersey","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Michael P. Johnson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michael P. Johnson","raw_affiliation_strings":["BAYADA Home Health Care, Moorestown, New Jersey"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BAYADA Home Health Care, Moorestown, New Jersey","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038839078","display_name":"Tracy M. Mroz","orcid":"https://orcid.org/0000-0003-1889-4252","observed_orcids":["https://orcid.org/0000-0003-1889-4252"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tracy M. Mroz","raw_affiliation_strings":["Department of Rehabilitation Medicine, University of Washington, Seattle"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Rehabilitation Medicine, University of Washington, Seattle","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062908207","display_name":"Natalie E. Leland","orcid":"https://orcid.org/0000-0002-0329-3772","observed_orcids":["https://orcid.org/0000-0002-0329-3772"]},"institutions":[{"id":"https://openalex.org/I170201317","display_name":"University of Pittsburgh","ror":"https://ror.org/01an3r305","country_code":"US","type":"education","lineage":["https://openalex.org/I170201317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Natalie E. Leland","raw_affiliation_strings":["Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania","institution_ids":["https://openalex.org/I170201317"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5044932079"],"corresponding_institution_ids":["https://openalex.org/I201448701"],"apc_list":{"value":5000,"currency":"USD","value_usd":5000},"apc_paid":{"value":5000,"currency":"USD","value_usd":5000},"fwci":13.0299,"has_fulltext":true,"cited_by_count":46,"citation_normalized_percentile":{"value":0.98974739,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":100},"biblio":{"volume":"5","issue":"3","first_page":"e235454","last_page":"e235454"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8628000020980835,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8628000020980835,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.12359999865293503,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13986","display_name":"Medical Practices and Rehabilitation","score":0.002099999925121665,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicare-advantage","display_name":"Medicare Advantage","score":0.9860000014305115},{"id":"https://openalex.org/keywords/fee-for-service-medicare","display_name":"fee-for-service Medicare","score":0.9789999723434448},{"id":"https://openalex.org/keywords/home-health-care","display_name":"home health care","score":0.9049999713897705},{"id":"https://openalex.org/keywords/patient-outcomes","display_name":"patient outcomes","score":0.5740000009536743},{"id":"https://openalex.org/keywords/mobility-function","display_name":"mobility function","score":0.6959999799728394},{"id":"https://openalex.org/keywords/self-care","display_name":"self-care","score":0.8840000033378601},{"id":"https://openalex.org/keywords/inpatient-transfer","display_name":"inpatient transfer","score":0.6399999856948853},{"id":"https://openalex.org/keywords/prior-authorization","display_name":"prior authorization","score":0.7080000042915344},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.6639999747276306},{"id":"https://openalex.org/keywords/home-health-aides","display_name":"home health aides","score":0.5590000152587891},{"id":"https://openalex.org/keywords/speech-therapy","display_name":"speech therapy","score":0.6330000162124634},{"id":"https://openalex.org/keywords/occupational-therapy","display_name":"occupational therapy","score":0.6700000166893005},{"id":"https://openalex.org/keywords/reimbursement-policy","display_name":"reimbursement policy","score":0.5400000214576721},{"id":"https://openalex.org/keywords/inverse-probability-of-treatment-weighting","display_name":"inverse probability of treatment weighting","score":0.6890000104904175}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6946229934692383},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.5931110978126526},{"id":"https://openalex.org/C2778829437","wikidata":"https://www.wikidata.org/wiki/Q6806632","display_name":"Medicare Advantage","level":3,"score":0.5879042744636536},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4570600390434265},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.43993836641311646},{"id":"https://openalex.org/C3018713162","wikidata":"https://www.wikidata.org/wiki/Q15945387","display_name":"Home health","level":3,"score":0.429505318403244},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.42803704738616943},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006254","descriptor_name":"Hawaii","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007297","descriptor_name":"Inpatients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020398","descriptor_name":"Medicare Part C","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1001/jamahealthforum.2023.5454","doi":"https://doi.org/10.1001/jamahealthforum.2023.5454","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamahealthforum.2023.5454","pdf_url":"https://jamanetwork.com/journals/jama-health-forum/articlepdf/2815745/prusynski_2024_oi_230105_1709231867.95661.pdf","source":{"id":"https://openalex.org/S4210223698","display_name":"JAMA Health Forum","issn_l":"2689-0186","issn":["2689-0186"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","oarl","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Health Forum","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10907922","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10907922","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/instance/10907922/bin/jamahealthforum-e235454-s001.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Health Forum","raw_type":"Text"},{"id":"pmid:38427341","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38427341","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA health forum","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1001/jamahealthforum.2023.5454","doi":"https://doi.org/10.1001/jamahealthforum.2023.5454","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamahealthforum.2023.5454","pdf_url":"https://jamanetwork.com/journals/jama-health-forum/articlepdf/2815745/prusynski_2024_oi_230105_1709231867.95661.pdf","source":{"id":"https://openalex.org/S4210223698","display_name":"JAMA Health Forum","issn_l":"2689-0186","issn":["2689-0186"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","oarl","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Health Forum","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.7390999794006348,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G6046250414","display_name":null,"funder_award_id":"P2C HD101895","funder_id":"https://openalex.org/F4320337611","funder_display_name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development"},{"id":"https://openalex.org/G7052463505","display_name":"LeaRRN: the Learning Health Systems Rehabilitation Research Network","funder_award_id":"5p2chd101895-05","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"}],"funders":[{"id":"https://openalex.org/F4320309070","display_name":"Brown University","ror":"https://ror.org/05gq02987"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337364","display_name":"National Institute of Child Health and Human Development","ror":"https://ror.org/04byxyr05"},{"id":"https://openalex.org/F4320337611","display_name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","ror":"https://ror.org/04byxyr05"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4392359705.pdf","grobid_xml":"https://content.openalex.org/works/W4392359705.grobid-xml"},"referenced_works_count":55,"referenced_works":["https://openalex.org/W2003984139","https://openalex.org/W2038927461","https://openalex.org/W2072082552","https://openalex.org/W2080138449","https://openalex.org/W2080365550","https://openalex.org/W2167104729","https://openalex.org/W2259493962","https://openalex.org/W2321557972","https://openalex.org/W2556157545","https://openalex.org/W2612812024","https://openalex.org/W2808334720","https://openalex.org/W2811331133","https://openalex.org/W2886065802","https://openalex.org/W2892751575","https://openalex.org/W2904964912","https://openalex.org/W2905457923","https://openalex.org/W2921433047","https://openalex.org/W2947320783","https://openalex.org/W2971970493","https://openalex.org/W2973759970","https://openalex.org/W2979563503","https://openalex.org/W3028937757","https://openalex.org/W3031212133","https://openalex.org/W3038332518","https://openalex.org/W3092077494","https://openalex.org/W3107012123","https://openalex.org/W3118879926","https://openalex.org/W3119143847","https://openalex.org/W3145414366","https://openalex.org/W3171789933","https://openalex.org/W3172167892","https://openalex.org/W3201710021","https://openalex.org/W3209968835","https://openalex.org/W4210906644","https://openalex.org/W4213172209","https://openalex.org/W4226264375","https://openalex.org/W4235741805","https://openalex.org/W4241167218","https://openalex.org/W4249239300","https://openalex.org/W4256630164","https://openalex.org/W4293102716","https://openalex.org/W4295414073","https://openalex.org/W4296981929","https://openalex.org/W4303437787","https://openalex.org/W4304688278","https://openalex.org/W4306316648","https://openalex.org/W4310750089","https://openalex.org/W4319303490","https://openalex.org/W4321020163","https://openalex.org/W4360809454","https://openalex.org/W4380434241","https://openalex.org/W4385462148","https://openalex.org/W4385830421","https://openalex.org/W4385969497","https://openalex.org/W4386447746"],"related_works":["https://openalex.org/W3209968835","https://openalex.org/W4410009844","https://openalex.org/W2971970493","https://openalex.org/W4416642438","https://openalex.org/W4405967969","https://openalex.org/W3092077494","https://openalex.org/W4393279843","https://openalex.org/W3031212133","https://openalex.org/W4412928677","https://openalex.org/W7222890248"],"abstract_inverted_index":{"Importance:":[0],"Private":[1],"Medicare":[2,9],"Advantage":[3],"(MA)":[4],"plans":[5,15],"recently":[6],"surpassed":[7],"traditional":[8],"(TM)":[10],"in":[11,45,60,87,92,148,219,310,324],"enrollment.":[12],"However,":[13],"MA":[14,31,69,103,141,187,279,313,343,373,401,403,425],"are":[16,33],"facing":[17],"scrutiny":[18],"for":[19,146,424],"burdensome":[20],"prior":[21],"authorization":[22],"and":[23,48,65,70,74,95,100,125,137,142,154,161,170,181,191,198,206,211,221,228,274,296,317,326,363,377,397],"potential":[24],"rationing":[25],"of":[26,122,130,196,200,286,322,367,400],"care,":[27],"including":[28,427],"home":[29,38,51,61,89,114,212,235,283,380],"health.":[30,236],"beneficiaries":[32],"less":[34,378],"likely":[35,348,413],"to":[36,84,225,230,294,349,351,393,414,416],"receive":[37,375],"health,":[39],"but":[40,410],"recent":[41],"evidence":[42],"on":[43],"differences":[44,59,147,309],"service":[46,63,135],"intensity":[47,64,136],"outcomes":[49,67,139,216,409],"among":[50],"health":[52,62,90,115,194,213,284,381],"patients":[53,104,280,314,344,374,385,404],"is":[54],"lacking.":[55],"Objective:":[56],"To":[57],"examine":[58],"patient":[66,138],"between":[68,140,178],"TM.":[71],"Design,":[72],"Setting,":[73],"Participants:":[75],"This":[76],"cross-sectional":[77,369],"study":[78,370],"was":[79],"conducted":[80],"from":[81,202,300],"January":[82],"2019":[83],"December":[85],"2022":[86],"102":[88,102],"locations":[91],"19":[93],"states":[94],"included":[96,118,166,217],"178":[97],"195":[98],"TM":[99,143,185,356,384],"107":[101],"65":[105],"years":[106],"or":[107,111,431],"older":[108],"with":[109,355,386],"2":[110],"fewer":[112,298],"60-day":[113],"episodes.":[116],"It":[117],"a":[119],"secondary":[120],"analysis":[121],"standardized":[123],"assessment":[124],"visit":[126],"data.":[127],"Inverse":[128],"probability":[129],"treatment":[131],"weighting":[132],"regression":[133],"compared":[134,354],"episodes,":[144],"accounting":[145],"demographic":[149],"characteristics,":[150],"medical":[151],"complexity,":[152],"functional":[153,408,429],"cognitive":[155],"impairments,":[156],"social":[157,209,304],"environment,":[158],"caregiver":[159,433],"support,":[160],"local":[162],"community":[163,353],"factors.":[164],"Models":[165],"office":[167],"location,":[168],"year,":[169],"reimbursement":[171],"policy":[172],"fixed":[173],"effects.":[174],"Data":[175],"were":[176,246,250,307,345,411],"analyzed":[177],"September":[179],"2023":[180],"July":[182],"2024.":[183],"Exposure:":[184],"vs":[186,383],"plan.":[188],"Main":[189],"Outcomes":[190],"Measures:":[192],"Home":[193],"length":[195,285],"stay":[197,287],"number":[199],"visits":[201,299],"nursing,":[203],"physical,":[204],"occupational,":[205],"speech":[207],"therapy,":[208],"work,":[210],"aides.":[214],"Patient":[215],"improvement":[218],"self-care":[220,337],"mobility":[222,325],"function,":[223],"discharge":[224,350,415],"the":[226,352,394,417],"community,":[227,418],"transfer":[229],"an":[231],"inpatient":[232,311],"facility":[233],"during":[234],"Results:":[237],"Of":[238],"285":[239],"297":[240],"total":[241],"patients,":[242,426],"180":[243],"283":[244],"(63.2%)":[245],"female;":[247],"586":[248],"(0.2%)":[249,276],"American":[251],"Indian/Alaska":[252],"Native,":[253],"8957":[254],"(3.1%)":[255],"Asian,":[256],"28":[257],"694":[258],"(10.1%)":[259],"Black,":[260],"7406":[261],"(2.6%)":[262],"Hispanic,":[263],"1959":[264],"(0.7%)":[265],"Native":[266],"Hawaiian/Pacific":[267],"Islander,":[268],"237":[269],"017":[270],"(83.1%)":[271],"non-Hispanic":[272],"White,":[273],"678":[275],"multiracial":[277],"individuals.":[278],"had":[281,315],"shorter":[282,376],"by":[288],"1.62":[289],"days":[290],"(95%":[291],"CI,":[292,335,341,360],"-1.82":[293],"1.42)":[295],"received":[297],"all":[301],"disciplines":[302],"except":[303],"work.":[305],"There":[306],"no":[308],"transfers.":[312],"3%":[316],"4%":[318],"lower":[319],"adjusted":[320],"odds":[321,330],"improving":[323],"self-care,":[327],"respectively":[328],"(mobility":[329],"ratio":[331],"[OR],":[332],"0.97;":[333],"95%":[334,340,359],"0.94-0.99;":[336],"OR,":[338],"0.96;":[339],"0.92-0.99).":[342],"5%":[346],"more":[347,412],"(OR,":[357],"1.05;":[358],"1.01-1.08).":[361],"Conclusions":[362],"Relevance:":[364],"The":[365],"results":[366],"this":[368],"suggest":[371],"that":[372],"intensive":[379],"care":[382],"similar":[387],"needs.":[388],"Differences":[389],"may":[390,420],"be":[391],"due":[392],"administrative":[395],"burden":[396],"cost-limiting":[398],"incentives":[399],"plans.":[402],"experienced":[405],"slightly":[406],"worse":[407],"which":[419],"have":[421],"negative":[422],"implications":[423],"reduced":[428],"independence":[430],"increased":[432],"burden.":[434]},"counts_by_year":[{"year":2026,"cited_by_count":20},{"year":2025,"cited_by_count":18},{"year":2024,"cited_by_count":8}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2024-03-05T00:00:00"}
