Initial home health outcomes under prospective payment

Health Services Research, Feb, 2005 by Robert E. Schlenker, Martha C. Powell, Glenn K. Goodrich

ACKNOWLEDGMENT

The analyses for this article were carried out as background work under Contract No. 500-00-0026, TO #2, from the Centers for Medicare & Medicaid Services (CMS), U.S. Department of Health and Human Services. The views expressed are the authors' and do not necessarily reflect CMS positions or policies. An earlier version of this material was presented at the Western Economic Association International Annual Meeting, Denver, CO, July 2003.

REFERENCES

Centers for Medicare & Medicaid Services (CMS), U.S. Department of Health and Human Services. 2003. Health Care Financing Review: Medicare and Medicaid Statistical Supplement, 2001.

Goldberg, H. B., D. Delargy, R. J. Schmitz, T. Moore, M. Wrobel, Y. D. Mackiernan, M. Murphy, E. Axelrod, C. Bishop, and K. Berg. 1999. Case-Mix Adjustment for a National Home Health Prospective Payment System. Cambridge, MA: Abt Associates.

Health Care Financing Administration (HCFA), U.S. Department of Health and Human Services. 1999a. "Medicare and Medicaid Programs; Mandatory Use, Collection, Encoding, and Transmission of Outcome and Assessment Set (OASIS) for Home Health Agencies and Privacy Act of 1974; Report of New System; Notices." Federal Register 64 (117): 32983-91.

--. 1999b. "Medicare Program; Prospective Payment System for Home Health Agencies; Proposed Rule." Federal Register 64 (208): 58134-209.

--. 2000. "Medicare Program; Prospective Payment System for Home Health Agencies; Final Rule." Federal Register 65 (128): 41128-214.

Komisar, H. 2002. "Rolling Back Medicare Home Health." Health Care Financing Review 24 (2): 33-55.

McCall, N., J. Korb, A. Petersons, and S. Moore. 2002. "Constraining Medicare Home Health Reimbursement: What Are the Outcomes?" Health Care Financing Review 24 (2): 57-76.

McCall, N., A. Petersons, S. Moore, and J. Korb. 2003. "Utilization of Home Health Services before and after the Balanced Budget Act of 1997: What Were the Initial Effects?" Health Services Research 38 (1): 85-106.

Medicare Payment Advisory Commission (MedPAC). 1998. Report to the Congress: Context for a Changing Medicare Program. Washington, DC.

Shaughnessy, P. W., K. S. Crisler, R. E. Schlenker, and A. G. Arnold. 1997. "Outcomes across the Care Continuum: Home Health Care." Medical Care 35 (11): NS115-23, and 35 (12): 1225-6.

Shaughnessy, P. W., K. S. Crisler, R. E. Schlenker, A. G. Arnold, A. M. Kramer, M. C. Powell, and D. F. Hittle. 1994. "Measuring and Assuring the Quality of Home Health Care." Health Care Financing Review 16 (1): 35-67.

Shaughnessy, P. W., D. F. Hittle, K. S. Crisler, M. C. Powell, A. A. Richard, A. M. Kramer, R. E. Schlenker, J. F. Steiner, N. S. Donelan-McCall, J. M. Beaudry, K. L. Mulvey-Lawlor, and K. Engle. 2002. "Improving Patient Outcomes of Home Health Care: Findings from Two Demonstration Trials of Outcome-Based Quality Improvement." Journal of the American Geriatrics Society 50 (8): 1354-64.

United States General Accounting Office (USGAO). 2002. "Medicare Home Health Care: Payments to Home Health Agencies Are Considerably Higher Than Costs." GAO Publication No. 02-663. Washington, DC.

 

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