- Title
- Home health care outcomes under capitated and fee-for-service payment.
- First Author
- Shaughnessy, Peter W
- Date of Pub
- 1994 Fall
- Pages
- 187-222
- Volume
- 16
- Issue
- 1
- Other Authors
- Hittle, David F; Schlenker, Robert E
- Abstract
- In this article, case-mix-adjusted outcomes of home health care are found to be superior for Medicare fee-for-service (FFS) patients relative to Medicare health maintenance organization (HMO) patients. The superior outcomes for FFS patients were accompanied by higher utilization and cost of home health services, suggesting a volume-outcome (or dose-response) relationship that was further substantiated by within-HMO and within-FFS analyses. The findings suggest that greater attention should be paid to both outcome-based quality assurance and managed care practices that may be overly restrictive in terms of the use of home health services.
- Abstract Continued
- N/A
- MeSH
- Capitation Fee : Comparative Study : Data Collection : Diagnosis-Related Groups : Fee-for-Service Plans/standards : Health Maintenance Organizations/standards : Home Care Services/economics/statistics & numerical data/standards : Medicare/statistics & numerical data : Outcome Assessment (Health Care)/statistics & numerical data : Quality of Health Care/economics : Support, U.S. Gov't, Non-P.H.S. : United States
- NTIS Number
- PB2001-105546
