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Association Between Race, Neighborhood, and Medicaid Enrollment and Outcomes in Medicare Home Health Care

More than 3 million Medicare beneficiaries use home health care annually, yet little is known about how vulnerable beneficiaries fare in the home health setting. This is particularly important given the recent launch of Medicare's Home Health Value‐Based Purchasing model. The objective of this study was to determine odds of adverse clinical outcomes associated with dual enrollment in Medicaid and Medicare as a marker of individual poverty, residence in a low‐income ZIP code tabulation area (ZCTA), and black race.