The Influence of Medicare Home Health Payment Incentives: Does Payer Source Matter?

David Grabowski (), David Stevenson, Haiden Huskamp and Nancy Keating
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Nancy Keating: Department of Health Care Policy, Harvard Medical School

PGDA Working Papers from Program on the Global Demography of Aging

Abstract: During the late 1990s, an interim payment system (IPS) was instituted to constrain Medicare home health care expenditures. Previous research has largely focused on the implications of the IPS for Medicare patients, but our study broadens the analysis to consider patients with other payer sources. Using the National Home and Hospice Care Survey, we found similar effects of the IPS across payer types. Specifically, the IPS was associated with a decrease in access to care for the sickest patients, less agency assistance with activities of daily living, and shorter length-of-use. However, these changes did not translate into worse discharge outcomes.

Keywords: Medicare; health; incentives (search for similar items in EconPapers)
Date: 2005-09
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