A New Data Resource to Examine Meals on Wheels Clients' Health Care Utilization and Costs.

Medical Care
Mingyang ShanKali S Thomas

Abstract

Access to social services (eg, nutrition) can impact older adults' health care utilization and health outcomes. However, data documenting the relationship between receiving services and objective measures of health care utilization remain limited. To link Meals on Wheels (MOW) program data to Medicare claims to enable examination of clients' health and health care utilization and to highlight the utility of this linked dataset. Using probabilistic linking techniques, we matched MOW client data to Medicare enrollment and claims data. Descriptive information is presented on clients' health and health care utilization before and after receiving services from MOW. In total, 29,501 clients were from 13 MOW programs. Clients' demographics, chronic conditions, and hospitalization, emergency department (ED), and nursing home (NH) utilization rates. We obtained a one-to-one link for 25,279 clients. Among these, 14,019 were Medicare fee-for-service (FFS) beneficiaries and met inclusion criteria for additional analyses. MOW clients had high rates of chronic conditions (eg, almost 90% of FFS clients were diagnosed with hypertension, compared with 63% of FFS beneficiaries in their communities). In the 6 months before receiving MOW services,...Continue Reading

References

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Citations

Jun 13, 2019·Journal of the American Geriatrics Society·Andrea M MorrisKali S Thomas
Feb 23, 2020·Family & Community Health·Tina R SadaranganiJoshua Chodosh
Jul 10, 2019·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Melony E Sorbero, Ashley M Kranz
Aug 20, 2021·The Journal of Nutrition, Health & Aging·C D BergeronM L Smith

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Software Mentioned

SAS
MOW

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