Editor's Note on Home‐Based Medical Care in Traditional Medicare vs. Medicare Advantage Among Older Adults With Alzheimer's Disease and Related Dementias

I was called to the home of my hospice patient very late one evening. I provided primary care and then home-based medical care for this individual for more than fifteen years. She had advanced Alzheimer's disease with a gradual loss of function. She was living with her daughter and granddaughter. The patient had died. My responsibility that night was to meet with the hospice nurse and the family. After I attended to my patient, I had an opportunity to express my condolences to her daughter. I asked her how long she had been the primary family caregiver for her mother. “Twelve years,” answered her exhausted and loving daughter. This paper by Dr. Mia Yang and her colleagues is relevant to geriatricians and health care leaders who are charged with implementing systems to improve health care for vulnerable older patients. The authors studied the rate of home-based medical visits among community-dwelling Traditional Medicare and Medicare Advantage enrollees with Alzheimer's disease and related dementias. They compared the rates of home-based medical visits among beneficiaries with each type of Medicare coverage. The figure in the Results section of this paper provides an opportunity to understand patterns of home-based medical care use in different geographic regions of the country. This work highlights the need to disseminate home-based medical care to vulnerable older people living with dementia in both Medicare Advantage and Traditional Medicare populations. Since I retired from my geriatrics position, I have had the opportunity to reflect on my clinical practice. Home-based medical care was one of the most interesting and meaningful areas of my clinical responsibilities. The authors are to be commended for their scholarship in describing patterns of home-based medical care among Medicare beneficiaries. This publication is linked to a related article by Yang et al. To view this article, visit https://doi.org/10.1111/jgs.70781.