Falling behind: The growth of frail, high‐need beneficiaries receiving home based primary care in traditional Medicare 2014–2021.

HOME care services; HEALTH services accessibility; CROSS-sectional method; HEALTH insurance reimbursement; RESEARCH funding; PRIMARY health care; MEDICARE; FEE for service (Medical fees); VALUE-based healthcare; DESCRIPTIVE statistics; MEDICAL care costs

The article presents a study which investigated growth in the share of the high-need population that can benefit from home-based primary care (HBPC) and whether there has been corresponding growth in receipt of HBPC. Topics discussed include growth in the number of Independence at Home-qualifying (IAHQ) traditional Medicare (TM) beneficiaries from 2014 to 2021, reason that nearly 90 percent of IAHQ beneficiaries in 2021 did not receive HBPC, and limited access to value-based payment models.