Challenges in the new prospective payment system: action steps for social work in home health care.
The Balanced Budget Act of 1997 changed the reimbursement rules for Medicare home health benefits from a fee-for-service system to a prospective payment system (PPS). As with Medicare's hospital reimbursement system, home health agencies have to provide appropriate and adequate care for a flat rate reimbursement for each patient. As a result coordination and collaboration among all members of the home health care team (that is, nurses, social workers, physical therapist, occupational therapist, speech therapist, and home health aides) is critical to provide home care for frail and chronically ill populations. The authors provide background on the PPS, home health care, and social work roles in home health care and propose policy and research action steps for the social work profession.
Lee
Ji Seon
JS
Graduate School of Social Service, Fordham University, New York, NY 10023, USA. jilee@fordham.edu
Rock
Barry D
BD
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006699:Home Care Services / Q000191:economics* / Q000458:organization & administration / Q000639:trends; D006801:Humans; D008297:Male; D006278:Medicare / Q000191:economics*; D010348:Patient Care Team; D011445:Prospective Payment System / Q000191:economics* / Q000639:trends; D012947:Social Work / Q000639:trends*; D014481:United States