Use of covered services in Medicare home health care.
Using data on 295 patients entering Medicare home health care at discharge from Medicare hospital stays, we explain receipt of Medicare home health nursing, PT and OT visits, and length of stay. Care reflected need, but other factors also affected service allocation. Medicare program requirements, as well as variation in provider structure and case load, appear to introduce inequities. Critical in light of recurrent proposals to change Medicare coverage and benefits, findings underline the need to reconsider Medicare home health policies that lead to denial of needed services, inequitable allocation of benefits, and premature termination of care.
Swan
J H
JH
Department of Health Services Organization and Policy, Wichita State University, KS 67260, USA.
Black
L
L
Benjamin
A E
AE
Fox
P
P
D000368:Aged; D005260:Female; D006291:Health Policy; D006302:Health Services Research; D006699:Home Care Services / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay; D016013:Likelihood Functions; D008297:Male; D006278:Medicare / Q000191:economics / Q000458:organization & administration*; D017146:Models, Organizational; D009788:Occupational Therapy / Q000191:economics / Q000706:statistics & numerical data*; D026741:Physical Therapy Modalities / Q000191:economics / Q000706:statistics & numerical data*; D012495:San Francisco; D014481:United States