title: The impact of health care changes on home health.
abstract: OBJECTIVE
  To provide an overview of the economic impact of changes on home care services.
  
  
  METHODS
  Published articles and organizational and government reports pertaining to home care and health care economics.
  
  
  CONCLUSIONS
  In general, home care organizations are struggling to survive and retain fiscal stability. Understanding the economic impact of change on home care services is facilitated by a better understanding of three major components: the insurance company, the home health service agency, and the client.
  
  
  CONCLUSIONS
  The home health nurse who chose this care setting for role autonomy and family-centered direct care must now be concerned about productivity, costs, and reimbursement. Oncology nurses need to provide administrators and financial officers with the information to provide services in the most cost-effective manner, and be advocates for the provision of quality care.
authors.affiliation: Fox Chase Cancer Center, Philadelphia, PA 19111, USA.
authors.forename: S
authors.initials: S
authors.lastname: Seeber
authors.forename: S B
authors.initials: SB
authors.lastname: Baird
mesh_terms: D006699:Home Care Services / Q000191:economics* / Q000706:statistics & numerical data / Q000639:trends*; D006801:Humans; D008329:Managed Care Programs / Q000191:economics* / Q000458:organization & administration / Q000639:trends