Constraining Medicare home health reimbursement: what are the outcomes?
The implementation of the Balanced Budget Act (BBA) of 1997 resulted in substantial decreases in the amount of Medicare home health use. Use among home health users decreased by two-fifths from fiscal year (FY) 1997, just before the passage of the BBA to FY 1999, the first full year after the implementation of the home health interim payment system. This article examines whether these dramatic reductions in use resulted in increased incidence of potential adverse outcomes, i.e., increases in hospitalizations, skilled nursing home facility admissions, emergency room (ER) use, or death among home health users.
McCall
Nelda
N
Korb
Jodi
J
Petersons
Andrew
A
Moore
Stanley
S
D000368:Aged; D000369:Aged, 80 and over; D002017:Budgets / Q000331:legislation & jurisprudence; D002908:Chronic Disease; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006302:Health Services Research; D006699:Home Care Services / Q000191:economics* / Q000706:statistics & numerical data*; D006801:Humans; D007349:Insurance, Health, Reimbursement; D008297:Male; D016344:Medicare Part A / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010343:Patient Admission / Q000706:statistics & numerical data; D014600:Utilization Review