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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

 

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