Trends - Trends in Medicare home health care use: 1997-2001
Trends - Trends in Medicare home health care use: 1997-2001
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DOI：
10.1377/hlthaff.22.5.146
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发表时间：
2003-09-01
期刊：
影响因子：
9.7
通讯作者：
Meadow, A
中科院分区：
文献类型：
--
作者：
Murtaugh, CM;McCall, N;Meadow, A
1997 年的《平衡预算法案》要求对家庭医疗保健的医疗保险支付进行重大改革，在预期支付系统 (PPS) 之前采用临时支付系统 (IPS)。本研究扩展了早期对 IPS 影响的分析，以确定引入 PPS 后家庭健康使用和支出趋势是否发生变化。 IPS 下每个用户的使用率和访问量的快速下降在最后一年放缓，然后在 PPS 的第一年再次回升。此外，PPS 下每次访问的平均付款大幅增加。人们对 1999 年以来家庭医疗服务持续大幅削减的影响知之甚少。
The Balanced Budget Act of 1997 mandated a major overhaul in Medicare payment for home health care with an interim payment system (IPS) preceding a prospective payment system (PPS). This study extends an earlier analysis of the impact of the IPS to determine whether home health use and spending trends changed after the introduction of the PPS. The rapid decline in the incidence of use and visits per user under the IPS slowed in its final year and then picked up again in the first year of the PPS. In addition, average payment per visit increased sharply under the PPS. Little is known about the impact of continued large reductions in home health services since 1999.