R. Tamara Konetzka
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View article: The Evolution of Long-Term Care and Health Policy in the United States
The Evolution of Long-Term Care and Health Policy in the United States Open
Long-term care policy has been neglected for decades in the United States because of high costs, leaving middle-class families struggling to afford care. Many rely on unpaid caregivers, who face significant financial and emotional burdens.…
View article: Trends in Home Health Care Among Traditional Medicare Beneficiaries With or Without Dementia
Trends in Home Health Care Among Traditional Medicare Beneficiaries With or Without Dementia Open
Importance A growing number of people with dementia are opting to live at home and receive care in the community rather than enter a nursing home. Adequately supporting their care at home can be challenging, and Medicare-funded home health…
View article: Comparing Outcomes Among Medicaid Home and Community‐Based Service Users: Private Homes vs. Assisted Living Facilities
Comparing Outcomes Among Medicaid Home and Community‐Based Service Users: Private Homes vs. Assisted Living Facilities Open
Objective To compare outcomes of Medicaid home and community‐based services (HCBS) users residing in a private home vs. in an assisted living facility among dually eligible individuals aged 65 or older. Study Setting and Design Medicaid HC…
View article: Home‐Based Care Outcomes: Does the Care Provider Matter?
Home‐Based Care Outcomes: Does the Care Provider Matter? Open
Long‐term services in the home are predominately provided by family or friends, with a growing proportion of individuals receiving formal care, or paid care by a professional, or a combination of both. However, the relative benefits to the…
View article: Home Health Care Use Among Medicare Beneficiaries From 2010 to 2020
Home Health Care Use Among Medicare Beneficiaries From 2010 to 2020 Open
Medicare home health coverage is an important resource for Medicare beneficiaries requiring health care at home. However, there have been changes in the United States health care system that might impact home health utilization such as pre…
View article: Incorporating staffing instability in the nursing home Five-Star Staffing Composite
Incorporating staffing instability in the nursing home Five-Star Staffing Composite Open
Staffing is an important indicator of nursing home quality and resident health outcomes. The Five-Star staffing ratings in Nursing Home Care Compare, the report card published by the Centers for Medicare and Medicaid Services, is based on …
View article: Effects of essential caregiver policies on COVID‐19 and non‐COVID‐19 deaths in nursing homes
Effects of essential caregiver policies on COVID‐19 and non‐COVID‐19 deaths in nursing homes Open
Federal authorities banned nursing home visitation in the early days of the coronavirus disease 2019 (COVID‐19) pandemic. However, there was growing concern that physical isolation may have unintended harms on nursing home residents. Thus,…
View article: The role of Medicaid home‐ and community‐based services in use of Medicare post‐acute care
The role of Medicaid home‐ and community‐based services in use of Medicare post‐acute care Open
Objective Medicaid‐funded long‐term services and supports are increasingly provided through home‐ and community‐based services (HCBS) to promote continued community living. While an emerging body of evidence examines the direct benefits an…
View article: Home- and community-based care in the new generation of Medicaid administrative data
Home- and community-based care in the new generation of Medicaid administrative data Open
This study aimed to assess the quality of Home and Community-Based Services (HCBS) data elements within the Transformed Medicaid Statistical Information System Analytical File (TAF) and to devise strategies for improving its research usabi…
View article: Outcomes After Community Discharge From Skilled Nursing Facilities: The Role of Medicaid Home and Community-Based Services
Outcomes After Community Discharge From Skilled Nursing Facilities: The Role of Medicaid Home and Community-Based Services Open
This study investigated the association between Medicaid Home and Community-Based Services (HCBS) generosity and post-discharge outcomes among dual-eligible beneficiaries discharged from skilled nursing facilities (SNFs). We linked multipl…
View article: The relationship between Medicaid policy and realized access to home- and community-based services
The relationship between Medicaid policy and realized access to home- and community-based services Open
Medicaid funding for home- and community-based services (HCBS) has increased substantially in recent decades. Prior research has investigated the effects of this expansion on outcomes for individuals as well as costs to Medicaid, often usi…
View article: Leveraging Health Services Research to Address Aging Health Equity.
Leveraging Health Services Research to Address Aging Health Equity. Open
To achieve optimal, equitable health outcomes for all older adults, the United States desperately needs equity in access to, quality of, and cost of aging care. To illustrate these needs, we discuss the current inequitable state of frailty…
View article: Dementia, nurse staffing, and health outcomes in nursing homes
Dementia, nurse staffing, and health outcomes in nursing homes Open
Objective To estimate and contrast the relationships between nurse staffing and health outcomes in nursing homes with low and high dementia census, to understand the association of staffing hours with dementia care quality. Data Sources an…
View article: EFFECTS OF ESSENTIAL CAREGIVER POLICIES ON COVID-19 AND NON-COVID-19 DEATHS IN NURSING HOMES
EFFECTS OF ESSENTIAL CAREGIVER POLICIES ON COVID-19 AND NON-COVID-19 DEATHS IN NURSING HOMES Open
Balancing the safety of nursing home residents with their need for social interaction has emerged as a key challenge from the COVID-19 pandemic. Strict bans on nursing home visitation eventually led to growing concern that physical isolati…
View article: THE ROLE OF MEDICAID HOME- AND COMMUNITY-BASED SERVICES IN USE OF MEDICARE POST–ACUTE CARE
THE ROLE OF MEDICAID HOME- AND COMMUNITY-BASED SERVICES IN USE OF MEDICARE POST–ACUTE CARE Open
Medicaid-funded long-term services and supports are increasingly provided through home and community-based services (HCBS) to promote continued community living. While an emerging body of evidence examines the direct benefits and costs of …
View article: HOME-BASED CARE AND PATIENT OUTCOMES: DOES THE DELIVERY TEAM MATTER?
HOME-BASED CARE AND PATIENT OUTCOMES: DOES THE DELIVERY TEAM MATTER? Open
A major challenge facing the U.S. is how to best to meet the growing demand for person-centered, high-quality long-term care in the least restrictive setting possible for community-dwelling older adults who need assistance with daily activ…
View article: The health effects of nursing home specialization in post-acute care
The health effects of nursing home specialization in post-acute care Open
Nursing homes serve both long-term care and post-acute care (PAC) patients, two groups with distinct financing mechanisms and requirements for care. We examine empirically the effect of nursing home specialization in PAC using 2011-2018 da…
View article: Home- and Community-based Care in the New Generation of Medicaid Administrative Data
Home- and Community-based Care in the New Generation of Medicaid Administrative Data Open
This study aimed to assess the quality of Home and Community-Based Services (HCBS) data elements within the Transformed Medicaid Statistical Information System Analytical File (TAF) and to devise strategies for improving its research usabi…
View article: Accuracy of infection reporting in US nursing home ratings
Accuracy of infection reporting in US nursing home ratings Open
Objective To assess the accuracy of nursing home‐reported data on urinary tract infections (UTIs), which are publicly reported on Nursing Home Care Compare, and pneumonia, which are not publicly reported. Data Sources and Study Setting We …
View article: Dementia Care Is Widespread In US Nursing Homes; Facilities With The Most Dementia Patients May Offer Better Care
Dementia Care Is Widespread In US Nursing Homes; Facilities With The Most Dementia Patients May Offer Better Care Open
More than three million US nursing home residents were diagnosed with Alzheimer's disease and related dementias (ADRD) between 2017 and 2019. This number is expected to increase as the population ages and ADRD prevalence increases. People …