Medicare Interim Payment System's Impact on Medicare Home Health Utilization
نویسندگان
چکیده
The Medicare home health interim payment system (IPS) implemented in fiscal year 1998 provided very strong incentives for home health agencies (HHAs) to reduce the number of visits provided to each Medicare user and to avoid those beneficiaries whose Medicare plan of care was likely to exceed the average beneficiary cost limit. We analyzed multiple years of data from the Medicare Current Beneficiary Survey (MCBS) to examine how the IPS affected subgroups of the Medicare population by health and socioeconomic characteristics. We found that the IPS strongly reduced overall utilization, but that few subgroups were disproportionately affected.
منابع مشابه
Effects of Medicare payment reform: evidence from the home health interim and prospective payment systems.
Medicare continues to implement payment reforms that shift reimbursement from fee-for-service toward episode-based payment, affecting average and marginal payment. We contrast the effects of two reforms for home health agencies. The home health interim payment system in 1997 lowered both types of payment; our conceptual model predicts a decline in the likelihood of use and costs, both of which ...
متن کاملChanges in the Medicare home health care market: the impact of reimbursement policy.
BACKGROUND The Balanced Budget Act of 1997 introduced 2 new reimbursement structures, the Interim Payment System (IPS, 1997-2000) and the Prospective Payment System (PPS, begun October 2000) for Medicare home health agencies (HHAs) under the fee-for-service program. OBJECTIVE This article describes and compares the impact of these changes on the Medicare home health market from a period befor...
متن کاملImpact of Medicare payment policy on home health resources utilization
In this study, the association between Medicare regulations and the provision of public home health care is examined. Medicare clients were compared with non-Medicare groups of those 65 years of age or over and those under 65. Results suggested that both age- and payer-related factors contribute to utilization of services. Older patients showed greater need for chronic illness care relative to ...
متن کاملGAO-02-663 Medicare Home Health Care: Payments to Home Health Agencies Are Considerably Higher than Costs
In response to rapidly rising home health spending from the late 1980s through the mid-1990s, the Congress enacted major changes to Medicares home health payments in the Balanced Budget Act of 1997 (BBA).1 These and subsequent changes culminated in the implementation of a prospective payment system (PPS) on October 1, 2000, which provides incentives to home health agencies (HHAs) to operate eff...
متن کاملThe home health visit: an appropriate unit for Medicare payment?
To contain costs and increase incentives for efficient provision of care, prospective payment methods are being proposed for Medicare home health services. Although a shift to per episode payment is much discussed, the methods rely on the home health visit as a fundamental building block in setting rates and ceilings. Some propose setting fixed per visit prices in the interim until episode paym...
متن کامل