This article examines how patient outcomes and Medicare spending are affected by the decision to discharge patients to home with home health care vs to a skilled nursing facility for postacute care. The authors find that among Medicare beneficiaries eligible for postacute care at home or in a skilled nursing facility, discharge to home with home health care was associated with higher rates of readmission, no detectable differences in mortality or functional outcomes, and lower Medicare payments.
Werner, R.M., NB Coe, M. Qi, and R.T. Konetzka. “Patient Outcomes after Hospital Discharge to Home with Home Health Care Vs to a Skilled Nursing Facility.” JAMA Internal Medicine. Forthcoming. 2019. March. https://doi.org/10.1001/jamainternmed.2018.7998