title: Impact of the Medicare interim payment system on length of use in home care among patients with Medicare-only payment source.
abstract: Using data from the 1996 and 2000 National Home and Hospice Care Surveys (N = 2,455), we examined length of use in home care among patients with Medicare-only payment source before and during the Medicare interim payment system (IPS). Logistic regression analyses revealed that patients were 2.9 times more likely to be discharged within 60 days during IPS than before IPS. The impact of Medicare IPS on length of use in home care among patients with Medicare only was stronger than what the existing literature indicates, which combines Medicare patients with multiple payment sources and patients with Medicare-only together.
authors.affiliation: National Center for Health Statistics, Centers for Disease Control and Prevention, 3311 Toledo Road, Room 3409, Hyattsville, MD 20782, USA. hih9@cdc.gov
authors.forename: Beth
authors.initials: B
authors.lastname: Han
authors.forename: Robin E
authors.initials: RE
authors.lastname: Remsburg
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D019538:Health Care Surveys; D006699:Home Care Services / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000191:economics*; D016015:Logistic Models; D008297:Male; D006278:Medicare; D012051:Reimbursement Mechanisms; D014481:United States