Do preset per visit payment rates affect home health agency behavior?
Phillips, Barbara R
Date of Pub
Bishop, Christine E; Brown, Randall S; Klein, Amy C; Ritter, Grant A; Schore, Jennifer L; Skwara, Kathleen C; Thornton, Craig
This article reports on preliminary impacts during the first year of a demonstration in which home health agencies (HHAs)
were paid a prospectively set rate for each Medicare home health visit rendered, rather than being reimbursed for costs. Forty-seven
agencies in five States participated. The evaluation compared the experiences of randomly assigned treatment agencies and
their patients with those of control agencies and their patients and found no compelling evidence of any demonstration impact
on agency cost per visit, the volume of home health services, agency revenue and profit, patient selection and retention,
quality of care, or use and cost of Medicare services.
Costs and Cost Analysis : Data Collection : Evaluation Studies : Health Services Research : Home Care Agencies/economics/statistics
& numerical data/utilization : Medicare/economics/statistics & numerical data : Prospective Payment System/trends : Rate Setting
and Review/methods : Regression Analysis : Reimbursement, Incentive/statistics & numerical data : Reproducibility of Results
: Support, U.S. Gov't, Non-P.H.S. : United States