Effects of Medicare Payment Reform: Evidence from the Home Health Interim and Prospective Payment Systems

Peter J. Huckfeldt, Neeraj Sood, José J. Escarce, David C. Grabowski and Joseph Newhouse

No 17870, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: Medicare continues to implement payment reforms that shift reimbursement from fee-for-service towards episode-based payment, affecting average and marginal reimbursement. We contrast the effects of two reforms for home health agencies. The Home Health Interim Payment System in 1997 lowered both types of reimbursement; our conceptual model predicts a decline in the likelihood of use and costs, both of which we find. The Home Health Prospective Payment System in 2000 raised average but lowered marginal reimbursement with theoretically ambiguous effects; we find a modest increase in use and costs. We find little substantive effect of either policy on readmissions or mortality.

JEL-codes: H42 I1 (search for similar items in EconPapers)
Date: 2012-02
New Economics Papers: this item is included in nep-hea
Note: EH
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Published as Huckfeldt, Peter J. & Sood, Neeraj & Escarce, José J. & Grabowski, David C. & Newhouse, Joseph P., 2014. "Effects of Medicare payment reform: Evidence from the home health interim and prospective payment systems," Journal of Health Economics, Elsevier, vol. 34(C), pages 1-18.

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Related works:
Journal Article: Effects of Medicare payment reform: Evidence from the home health interim and prospective payment systems (2014)
Working Paper: Effects of Medicare Payment Reform: Evidence from the Home Health Interim and Prospective Payment Systems (2012)
Working Paper: Effects of Medicare Payment Reform: Evidence from the Home Health Interim and Prospective Payment Systems (2012)
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