Home health care outcomes under capitated and fee-for-service payment.
Shaughnessy, Peter W
Date of Pub
Hittle, David F; Schlenker, Robert E
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.
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