Medicare home health: a description of total episodes of care.
Branch, Laurence G
Date of Pub
Cheh, Valerie A; Goldberg, Henry B; Williams, Judith
The purpose of this study was to present descriptive information on the characteristics of 2,873 Medicare home health clients,
to quantify systematically their patterns of service utilization and allowed charges during a total episode of care, and to
clarify the bivariate associations between client characteristics and utilization. The model client was female, 75-84 years
of age, living with a spouse, and frail based on a variety of indicators. The mean total episode was approximately 23 visits,
with allowed charges of $1,238 (1986 dollars). Specific subgroups of clients, defined by their morbidities and frailties,
used identifiable clusters of services. Implications for case-mix models and implications for capitation payments under health
care reform are discussed.
Episode of Care : Aged : Data Collection : Demography : Diagnosis-Related Groups/statistics & numerical data : Fees and Charges/statistics
& numerical data : Female : Home Care Services/economics/utilization : Human : Medicare/statistics & numerical data/utilization
: Multivariate Analysis : Support, U.S. Gov't, Non-P.H.S. : United States