The Impact of Medicare's Rural Add-on Payments in Home Health on Access to Care and Home Health Markets

医疗保险农村家庭健康附加付款对获得护理和家庭健康市场的影响

基本信息

  • 批准号:
    9298565
  • 负责人:
  • 金额:
    $ 4.53万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2016
  • 资助国家:
    美国
  • 起止时间:
    2016-07-01 至 2019-06-30
  • 项目状态:
    已结题

项目摘要

Project Summary Medicare’s home health benefit covers skilled nursing care, rehabilitation therapy, medical social work, and aide services for qualified beneficiaries in their own homes. Home health agencies provide care to more Medicare beneficiaries than skilled nursing facilities and inpatient rehabilitation hospitals combined. Reimbursement for home health has included varying levels of add-on payments for agencies when they serve rural beneficiaries to help meet the challenges of delivering care in rural areas. Between 2001 and the present, the amount of rural add-on payments as a percent of standard reimbursement has varied, though in some years no add-on payments were made. It is unclear what impact the varying rural add-on payments have had on access to home health for rural beneficiaries and how agencies have responded to changing incentives to serve rural markets. Therefore the aims of this study are to: 1) Examine the impact of rural add-on payments on access to care for rural beneficiaries in terms of the number of home health agencies serving rural areas, the types of home health services that are available in rural areas, and the quality of care provided by agencies who serve rural areas. 2) Analyze the response of home health agencies to rural add-on payments in terms of entry into and exit from rural markets and financial performance and service provision of agencies serving rural markets. Combining publicly available data from 2002 to 2014 from Medicare Home Health Compare, Healthcare Cost Report Information Systems, Provider of Services File, and Geographic Variation Public Use File, this retrospective analysis will employ descriptive and multi-level regression modeling approaches to provide the first comprehensive assessment of the impact of rural add-on payments on access to care for rural beneficiaries and home health markets. This study has critical implications for Medicare payment policy and addresses services for several vulnerable populations, including individuals living in rural areas, the elderly, women, and individuals with disabilities and/or chronic conditions. Results will help inform policymakers and Medicare on the impact and value of rural add-on payments in home health.
项目总结

项目成果

期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Tracy Mitchell Mroz其他文献

Tracy Mitchell Mroz的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Tracy Mitchell Mroz', 18)}}的其他基金

The Impact of Medicare's Rural Add-on Payments in Home Health on Access to Care and Home Health Markets
医疗保险农村家庭健康附加付款对获得护理和家庭健康市场的影响
  • 批准号:
    9165107
  • 财政年份:
    2016
  • 资助金额:
    $ 4.53万
  • 项目类别:

相似海外基金

Telemedicine Utilization and Impacts on Access Among Rural Medicare Beneficiaries
远程医疗的利用及其对农村医疗保险受益人获得服务的影响
  • 批准号:
    10322721
  • 财政年份:
    2021
  • 资助金额:
    $ 4.53万
  • 项目类别:
Disparities in access to and outcomes of cancer surgery for rural Medicare patients
农村医疗保险患者获得癌症手术的机会和结果存在差异
  • 批准号:
    10589123
  • 财政年份:
    2020
  • 资助金额:
    $ 4.53万
  • 项目类别:
Disparities in access to and outcomes of cancer surgery for rural Medicare patients
农村医疗保险患者获得癌症手术的机会和结果存在差异
  • 批准号:
    10112856
  • 财政年份:
    2020
  • 资助金额:
    $ 4.53万
  • 项目类别:
Disparities in access to and outcomes of cancer surgery for rural Medicare patients
农村医疗保险患者获得癌症手术的机会和结果存在差异
  • 批准号:
    10357855
  • 财政年份:
    2020
  • 资助金额:
    $ 4.53万
  • 项目类别:
The Impact of the Medicare Home Health Rural Add-on payment on Beneficiary Access and Health Outcomes
医疗保险家庭健康农村附加付款对受益人获取和健康结果的影响
  • 批准号:
    9815777
  • 财政年份:
    2019
  • 资助金额:
    $ 4.53万
  • 项目类别:
Population Health Planning for Rural Medicare Locals: evaluating a community participation method for delivering outcomes
农村医疗保险当地人的人口健康规划:评估社区参与方法以实现成果
  • 批准号:
    nhmrc : 1057362
  • 财政年份:
    2013
  • 资助金额:
    $ 4.53万
  • 项目类别:
    Partnerships
PRE-MEDICARE HEALTH AND WELLNESS PROGRAM FOR RURAL IOWANS
爱荷华州农村地区预医疗保健健康计划
  • 批准号:
    7627844
  • 财政年份:
    2009
  • 资助金额:
    $ 4.53万
  • 项目类别:
PRE-MEDICARE HEALTH AND WELLNESS PROGRAM FOR RURAL IOWANS
爱荷华州农村地区预医疗保健健康计划
  • 批准号:
    7888374
  • 财政年份:
    2008
  • 资助金额:
    $ 4.53万
  • 项目类别:
PRE-MEDICARE HEALTH AND WELLNESS PROGRAM FOR RURAL IOWANS
爱荷华州农村地区预医疗保健健康计划
  • 批准号:
    8136135
  • 财政年份:
    2008
  • 资助金额:
    $ 4.53万
  • 项目类别:
RURAL RESPONSE TO MEDICARE+CHOICE: CHANGE AND ITS IMPACT
农村对医疗保险选择的反应:变化及其影响
  • 批准号:
    6391088
  • 财政年份:
    1999
  • 资助金额:
    $ 4.53万
  • 项目类别:
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了