More Barriers: Public Reporting Exacerbates Inequities in Home Health Access
Presented by Shekinah A. Fashaw-Walters, PhD
Division of Health Policy & Management
Literature suggests that public reporting of quality may have the unintended consequence of exacerbating disparities in access to high-quality long-term care for older adults. Dr. Fashaw-Walters studies the impact of the home health (HH) 5-star ratings on changes in high-quality HH agency (HHA) use, by race, ethnicity, income level, and place-based factors. She uses data from the OASIS, Medicare Enrollment Files, HH Compare, American Community Survey, & Social Deprivation Index (SDI) to estimate differential access to high-quality HHAs between July 2014 and June 2017.
Policymakers should be aware of the potential unintended consequences for implementing HH Compare, specifically for Latinx and low-income HH users. Targeted interventions should focus on raising awareness around the 5-star ratings and clarifying how Medicare HH works for Latinx and lower income HH users.