Silverman H A
Health Care Financing Administration, Baltimore, MD 21207.
Health Care Financ Rev. 1990 Winter;12(2):113-26.
From 1974 through 1983, Medicare-covered home health visits and expenditures increased at double digit rates (18.4 and 29.0 percent annually, respectively). During the period from 1984 through 1987, intensified bill review by fiscal intermediaries and increased denial rates led to a decline in the number of home health visits. New reimbursement policies led to a markedly reduced rate of increase in the payments for home health services. By 1988, the use of and expenditures for home health services resumed rising. In this article, the trends in home health service use and expenditures are presented and the changes in legislation and policies that affected them are discussed.
从1974年到1983年，医疗保险覆盖的家庭健康访视和支出以两位数的速度增长（分别为每年18.4%和29.0%）。在1984年到1987年期间，财政中介机构加强了账单审查，拒付率上升，导致家庭健康访视次数下降。新的报销政策导致家庭健康服务支付的增长率显著降低。到1988年，家庭健康服务的使用和支出又开始上升。本文介绍了家庭健康服务使用和支出的趋势，并讨论了影响它们的立法和政策变化。
