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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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  3. Research Domains
  5. Indigenous Studies
  7. Te Hauora Me Te Oranga O Te Māori (māori Health And Wellbeing)
  9. Te Whaikaha Me Te Māori (māori And Disability)
  11. Medicaid Unwinding Experiences In Dual-eligible Older Adults

Medicaid Unwinding Experiences in Dual-Eligible Older Adults

Renuka Tipirneni1,2, Wendy Furst1, Dominic A Ruggiero3

  • 1Division of General Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor.

JAMA Health Forum
|January 10, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Many dual-eligible older adults are unaware of Medicaid redeterminations, leading to care access barriers. Addressing these gaps is crucial to prevent Medicaid loss and ensure continuity of care for vulnerable seniors.

Area of Science:

  • Gerontology
  • Health Policy
  • Public Health

Background:

  • Dual-eligible older adults utilize Medicaid for Medicare cost-sharing and essential services like dental and long-term care.
  • The experiences of this population during Medicaid unwinding are largely undocumented.

Purpose of the Study:

  • To evaluate awareness and experiences of dual-eligible older adults concerning Medicaid redetermination processes.
  • To identify barriers to care access faced by this demographic during Medicaid unwinding.

Main Methods:

  • A national cross-sectional survey of US adults aged 65+ with incomes at or below 100% of the federal poverty level was conducted.
  • Data collection occurred via internet and telephone from January 23 to February 19, 2024, using probability-based and nonprobability panels.

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Main Results:

  • Nearly half of respondents (49.0%) had no awareness of Medicaid renewals, and 37.0% did not complete the process.
  • While most maintained Medicaid (87.7%), those who lost coverage reported higher rates of delayed or forgone care (up to 30.6%).
  • Cost-related barriers were most prevalent for dental (25.1%) and home health services (18.5%).

Conclusions:

  • Significant informational gaps and navigational challenges exist regarding Medicaid unwinding among dual-eligible older adults.
  • Interventions are needed to improve awareness and support reenrollment, thereby mitigating care access disruptions.
  • Addressing these issues is vital to prevent Medicaid disenrollment and its associated negative health outcomes.