Wednesday, June 1, 2022 | The Latest Research, Commentary, And News From Health Affairs
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The authors examine associations of both death at home and home hospice care with individual characteristics, such as race or ethnicity and dual Medicare-Medicaid enrollment;
community characteristics; and the stringency of state-level assisted living regulations.
Among assisted living residents enrolled in fee-for-service Medicare who died in 2018–19, Temkin-Greener and coauthors find that dual Medicare-Medicaid enrollees were significantly less likely to die at home and more likely to die in hospitals or nursing homes compared with non–dual enrollees.
They also find that Black residents, regardless of dual enrollment status, were significantly less likely than White residents to have been enrolled in hospice at death.
"Although dual enrollment status was significantly associated with lower odds of hospice care, race appeared to be even more
influential," the authors conclude.
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