Phillips B R, Brown R S, Bishop C E, Klein A C, Ritter G A, Schore J L, Skwara K C, Thornton C V
Mathematica Policy Research, Inc., Princeton, NJ 08543.
Health Care Financ Rev. 1994 Fall;16(1):91-107.
This article reports on preliminary impacts during the first year of a demonstration in which home health agencies (HHAs) were paid a prospectively set rate for each Medicare home health visit rendered, rather than being reimbursed for costs. Forty-seven agencies in five States participated. The evaluation compared the experiences of randomly assigned treatment agencies and their patients with those of control agencies and their patients and found no compelling evidence of any demonstration impact on agency cost per visit, the volume of home health services, agency revenue and profit, patient selection and retention, quality of care, or use and cost of Medicare services.
本文报告了一项示范项目第一年的初步影响，该示范项目中，家庭健康机构（HHAs）为每次提供的医疗保险家庭健康访视获得预先设定的费率，而非按成本报销。五个州的47家机构参与其中。该评估将随机分配的治疗机构及其患者的经历与对照机构及其患者的经历进行了比较，未发现有令人信服的证据表明该示范项目对每次访视的机构成本、家庭健康服务量、机构收入和利润、患者选择与留存、护理质量或医疗保险服务的使用及成本有任何影响。
