title: Reforming home health care.
abstract: The Balanced Budget Act of 1997 currently limits Medicare payments to home health agencies through an interim payment system and authorizes future implementation of a prospective payment system. These new payment systems and the growing influence of managed care are forcing home health agencies to make difficult decisions about restructuring their organizational philosophies and operations to create a more cost-conscious environment.
authors.affiliation: Baird, Kurtz and Dobson, Kansas City, MO, USA.
authors.forename: L A
authors.initials: LA
authors.lastname: Fogel
mesh_terms: D000368:Aged; D002017:Budgets / Q000331:legislation & jurisprudence; D003659:Decision Making, Organizational; D017598:Efficiency, Organizational; D018166:Health Care Reform / Q000639:trends; D018574:Home Care Agencies / Q000191:economics* / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006801:Humans; D007256:Information Systems; D006278:Medicare / Q000331:legislation & jurisprudence*; D011445:Prospective Payment System / Q000331:legislation & jurisprudence; D012051:Reimbursement Mechanisms / Q000331:legislation & jurisprudence*; D014481:United States