Medicare Post-Acute Care Utilization - Home Health Agency by Geography/Provider and Case-M

Calendar Years 2014 to 2023 of Medicare post-acute care utilization and payment data for Home Health Agencies (HHAs). The dataset is organized by provider and Home Health Resource Group (HHRG) case-mix groupings, reflecting a 153-group model for 2014-2019 and a 432-group model for 2020-2023 under the Home Health Prospective Payment System. It is published by the U.S. Department of Health & Human Services and excludes Low Utilization Payment Adjustment (LUPA) claims.

Use Cases

• Analyzing payment trends for home health services based on case-mix groupings mentioned in the description
• Comparing provider-level utilization patterns across geographic regions based on the dataset's organization
• Studying the impact of the transition from a 153-group to a 432-group HHRG model on reimbursement data
• Modeling healthcare costs by excluding per-visit LUPA claims to focus on standardized payment cases

Strengths

• Data spans 10 calendar years from 2014 to 2023
• Uses two distinct case-mix grouping models (153-group and 432-group) for different time periods
• Excludes Low Utilization Payment Adjustment (LUPA) claims for consistency in payment analysis
• Published by the authoritative U.S. Department of Health & Human Services

Limitations

• Column-level documentation is absent; field semantics must be inferred after download
• Row count is unknown, which may limit suitability assessment for large-scale modeling
• Description metadata is limited; actual data quality requires manual inspection after download

Provenance

Source

U.S. Department of Health & Human Services

Collection Method

Likely contains administrative claims data from the Medicare program.

Time Range

Calendar Years 2014 - 2023

Freshness

Last updated 2026-04-10 21:04:12.376106; freshness should be verified

Geography

Provider and geography-level data, likely covering the United States.