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Poorer Quality Outcomes of Medicare-Certified Home Health Care in Areas with High Levels of Native American/Alaska Native Residents

This study examined whether quality indicators reported to the Centers for Medicare and Medicaid Services (CMS) by Medicare-certified home health care agencies are equal in areas with high Native American or Alaska Native (NA/AN) concentration. Identifying gaps in quality among multiple measures of home health care for high-risk areas allows practitioners and home health care service providers to target quality improvement interventions.