ESTIMATING THE EFFECTS OF MEDICARE ADVANTAGE ON THE HEALTH OF AGING POPULATION IN NURSING HOMES - OLDER ADU…
Federal financial assistance recorded from USAspending. This is not a procurement contract.
Assistance award details
- Assistance award identifier
- ASST_NON_K00AG095126_075
- FAIN
- K00AG095126
- Recipient
- UNIVERSITY OF CALIFORNIA, SAN DIEGO
- Awarding agency
- Department of Health and Human Services
- Funding agency
- Department of Health and Human Services
- Assistance listing (CFDA)
- 93.866
- Total obligated
- $93,311
- Period
- Sep 1, 2025 – May 31, 2030
- Fiscal year
- 2026
- Place of performance state
- CA
- Source file
- FY2026_All_Assistance_Full_20261006.zip
Description
ESTIMATING THE EFFECTS OF MEDICARE ADVANTAGE ON THE HEALTH OF AGING POPULATION IN NURSING HOMES - OLDER ADULTS AGED 65 OR OLDER, ELIGIBLE FOR MEDICARE, MUST CHOOSE BETWEEN TRADITIONAL FEE-FOR-SERVICE MEDICARE OR MEDICARE ADVANTAGE (MA). MA HAS GROWN RAPIDLY, COVERING 54% OF MEDICARE BENEFICIARIES IN 2024. THIS GROWTH HAS EXTENDED TO NURSING HOME (NH) RESIDENTS, WHERE ABOUT 23% OF THOSE TURNING 65 REQUIRE NH CARE. IN 2021, OVER 70% OF NH RESIDENTS WERE LONG-STAY (LS), WITH THE SHARE OF MA-ENROLLED LS RESIDENTS RISING FROM 13.3% IN 2011 TO 31.5% IN 2021. TO ADDRESS THE NEEDS OF LS RESIDENTS, NEW CARE MODELS SUCH AS INSTITUTIONAL SPECIAL NEEDS PLANS (I-SNPS) HAVE EXPANDED. DESPITE THE INCREASE OF MA AND THESE NEW MODELS IN LTC, THEIR IMPACT ON LS RESIDENTS IN NHS REMAINS UNDERSTUDIED. MY F99 PROJECTS ADDRESS THIS GAP BY DESCRIBING MA TRENDS AND ASSESSING MAâS EFFECTS ON NH CARE QUALITY AND HEALTH OUTCOMES AMONG LS RESIDENTS USING RIGOROUS CAUSAL METHODS. MY K00 PROJECTS WILL EXPAND THE WORK USING THE UNIQUE NH ELECTRONIC MEDICAL RECORDS (EMR) AND NEWLY DEVELOPED AI ALGORITHMS TO CAPTURE COMPREHENSIVE HEALTH OUTCOMES. WHILE MEDICARE DOESNâT PAY FOR LONG-TERM CUSTODIAL CARE IN NHS, IT COVERS ALL OTHER HEALTHCARE, LIKE HOSPITAL, POST-ACUTE, AND HOSPICE CARE. THIS INCENTIVIZES MA PLANS TO MANAGE CARE FOR LS RESIDENTS. THIS MAY HELP REDUCE WASTEFUL CARE, BUT IT MAY ALSO LIMIT LS RESIDENTSâ ACCESS TO NECESSARY CARE, MAKING THE IMPACTS OF MA ON THEIR WELFARE AND HEALTH UNCLEAR. LS RESIDENTS, WITH HIGH LEVELS OF CHRONIC ILLNESS AND LIMITED ABILITY TO ADVOCATE FOR CARE, ARE PARTICULARLY VULNERABLE TO DELAYS OR DENIALS OF CARE UNDER MA PLANS. AIM 1 (F99) WILL STUDY THE GROWTH OF MA AND I-SNPS AMONG LS RESIDENTS AND IDENTIFY DETERMINANTS OF THIS GROWTH (AIM 1A), AND EXAMINE MAâS IMPACT ON NH CARE QUALITY AND HEALTH OUTCOMES USING NOVEL CAUSAL METHODS, INCLUDING SHIFT- SHARE INSTRUMENTAL VARIABLE (SSIV) AND GENERALIZED SYNTHETIC CONTROLS (GSC), WHICH HAVE NOT YET BEEN USE