This Article Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (28) Citing Articles via Google Scholar Google Scholar Articles by McCall, N. Articles by Moore, S. Search for Related Content PubMed PubMed Citation Articles by McCall, N. Articles by Moore, S. Related Collections Home Care Medicare

Health Tracking

TRENDS

Medicare Home Health Before And After The BBA

After several years of dramatic growth in Medicare spending for home health care, the Balanced Budget Act (BBA) of 1997 made several changes to control spending, provide incentives for agencies to deliver care more efficiently, and rein in use of the home health benefit to deliver long-term personal care. The BBA made modifications to eligibility and coverage rules, but its most important change was to legislate the development of a prospective payment system (PPS) for home health reimbursement. While that development was under way, it called for the establishment of an interim payment system (IPS).

After passage of the BBA, . . . [Full Text of this Article]

Before The BBA

 

After The BBA

 
Eligibility and coverage.Reimbursement.Compliance initiatives.

Study Methodology

 

Study Results

 

Quarterly trends.

 
Service mix.Episode length.Population subgroups.Census region.Diagnoses.

Discussion And Policy Implications

 

                      What's this?

This article has been cited by other articles:

				B. Han, W. J. McAuley, and R. E. Remsburg Agency Ownership, Patient Payment Source, and Length of Service in Home Care, 1992 2000 Gerontologist, August 1, 2007; 47(4): 438 - 446. [Abstract] [Full Text] [PDF]

				W. J. McAuley, W. D. Spector, J. Van Nostrand, and T. Shaffer The Influence of Rural Location on Utilization of Formal Home Care: The Role of Medicaid Gerontologist, October 1, 2004; 44(5): 655 - 664. [Abstract] [Full Text] [PDF]

				N. McCall, J. Korb, A. Petersons, and S. Moore Decreased Home Health Use: Does It Decrease Satisfaction? Med Care Res Rev, March 1, 2004; 61(1): 64 - 88. [Abstract] [PDF]

				W. D. Spector, J. W. Cohen, and I. Pesis-Katz Home Care Before and After the Balanced Budget Act of 1997: Shifts in Financing and Services Gerontologist, February 1, 2004; 44(1): 39 - 47. [Abstract] [Full Text] [PDF]

				J. Angelelli, M. L. Fennell, R. R. Hyatt, and J. McKenney Linkages in the Rural Continuum: The Balanced Budget Act and Beyond Gerontologist, April 1, 2003; 43(2): 151 - 157. [Abstract] [Full Text] [PDF]