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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