Examined costs associated with beneficiaries who were: low-income, lived in underserved areas, had high severity of illness The report found current payment system produced lower margins for those:

• Needing parenteral nutrition
• With traumatic wounds or ulcers
• Who required substantial assistance in bathing
• Admitted to home health following an acute or post-acute stay
• Who have a high Hierarchical Condition Category score
• Who had certain poorly controlled clinical conditions
• Who were dual eligible