Benjamin A E
Home Health Care Serv Q. 1986 Spring;7(1):5-28. doi: 10.1300/J027v07n01_02.
Expenditures for home health services provided under Medicare and Medicaid nearly tripled between 1977 and 1982. Utilization and expenditures for home health services vary widely across the states for both programs, and this article examines in some detail the nature and extent of these variations. States vary considerably with respect to relative utilization, visits, and visit-expenditures under Medicare; and states vary in terms the role visits versus visit-reimbursements play in shaping overall costs. The Medicaid program is effectively two programs: New York; and the other states, with eight accounting for half of Medicaid expenditures outside New York.
1977年至1982年间，医疗保险和医疗补助计划下的家庭健康服务支出几乎增长了两倍。这两个计划中，各州的家庭健康服务利用率和支出差异很大，本文将详细探讨这些差异的性质和程度。在医疗保险计划下，各州在相对利用率、就诊次数和每次就诊支出方面差异很大；而且各州在就诊次数与就诊报销在形成总体成本方面所起的作用也有所不同。医疗补助计划实际上是两个计划：纽约州的计划；以及其他州的计划，其中八个州占纽约州以外医疗补助支出的一半。
