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

Author

Listed:
  • David C. Grabowski,
  • David G. Stevenson
  • Haiden A. Huskamp
  • Nancy L. Keating

    (Department of Health Care Policy, Harvard Medical School)

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.

Suggested Citation

  • David C. Grabowski, & David G. Stevenson & Haiden A. Huskamp & Nancy L. Keating, 2005. "The Influence of Medicare Home Health Payment Incentives: Does Payer Source Matter?," PGDA Working Papers 0605, Program on the Global Demography of Aging.
    • Handle: RePEc:gdm:wpaper:0605
    as

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    File URL: http://www.hsph.harvard.edu/pgda/WorkingPapers/2005/Grabowski_WP6.2005.pdf
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    References listed on IDEAS

    as
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    Keywords

    Medicare; health; incentives;
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