Contemplating home health PPS: current patterns of Medicare service use.
Goldberg, Henry B
Date of Pub
Schmitz, Robert J
Implementing a per-episode prospective payment system (PPS) for home health services is one option for Medicare policy makers
facing rapid increases in service use and expenditures. Analysis of data on recent episodes of Medicare home health care identified
systematic differences in service patterns across provider types; these indicate potential differences in the capacity of
agencies of different types to adjust to PPS. The second phase of a national demonstration, which is about to be implemented,
will provide information on the extent to which the agency practices that generate much of the observed variation (such as
the number of visits provided per episode) are susceptible to management decisions; and whether managers can and do respond
to the incentives of per-episode prospective payment.
Episode of Care : Data Collection : Evaluation Studies : Health Expenditures/statistics & numerical data : Health Services
Research : Home Care Services/economics/statistics & numerical data/utilization : Medicare/economics/statistics & numerical
data/utilization : Multivariate Analysis : Prospective Payment System/trends : Regression Analysis : Research Design : United