限制医疗保险家庭健康护理报销：结果如何？
Constraining Medicare home health reimbursement: what are the outcomes?
作者信息
McCall Nelda, Korb Jodi, Petersons Andrew, Moore Stanley
出版信息
Health Care Financ Rev. 2002 Winter;24(2):57-76.
Abstract
The implementation of the Balanced Budget Act (BBA) of 1997 resulted in substantial decreases in the amount of Medicare home health use. Use among home health users decreased by two-fifths from fiscal year (FY) 1997, just before the passage of the BBA to FY 1999, the first full year after the implementation of the home health interim payment system. This article examines whether these dramatic reductions in use resulted in increased incidence of potential adverse outcomes, i.e., increases in hospitalizations, skilled nursing home facility admissions, emergency room (ER) use, or death among home health users.
摘要
1997年《平衡预算法案》（BBA）的实施导致医疗保险家庭健康服务的使用量大幅下降。从1997财年（就在BBA通过之前）到1999财年（家庭健康临时支付系统实施后的第一个完整年份），家庭健康服务使用者的使用量减少了五分之二。本文探讨了这些使用量的大幅减少是否导致了潜在不良后果的发生率增加，即家庭健康服务使用者的住院率、专业疗养院入院率、急诊室（ER）使用率或死亡率的增加。
相似文献
1
Constraining Medicare home health reimbursement: what are the outcomes?限制医疗保险家庭健康护理报销：结果如何？
Health Care Financ Rev. 2002 Winter;24(2):57-76.
2
Rolling back Medicare home health.削减医疗保险家庭健康服务
Health Care Financ Rev. 2002 Winter;24(2):33-55.
3
The impact of Medicare home health policy changes on Medicare beneficiaries.医疗保险家庭健康政策变化对医疗保险受益人的影响。
Policy Brief (Cent Home Care Policy Res). 2003 Spring(15):1-6.
4
Estimating the effects of the Balanced Budget act of 1997 on the home health care use of the dually eligible: a natural experiments approach.评估 1997 年《预算平衡法案》对双重资格者家庭保健使用的影响：自然实验方法。
Soc Work Public Health. 2013;28(5):463-76. doi: 10.1080/19371918.2011.592046.
5
Utilization of home health services before and after the Balanced Budget Act of 1997: what were the initial effects?1997年平衡预算法案前后家庭健康服务的使用情况：初步影响是什么？
Health Serv Res. 2003 Feb;38(1 Pt 1):85-106. doi: 10.1111/1475-6773.00106.
6
Impact of the BBA on post-acute utilization.《平衡账单调整法案》对急性后期医疗服务利用的影响。
Health Care Financ Rev. 1999 Summer;20(4):103-26.
7
The effects of the Balanced Budget Act of 1997 on home health and hospice in older adult cancer patients.1997年平衡预算法案对老年癌症患者家庭医疗和临终关怀的影响。
Med Care. 2009 Mar;47(3):279-85. doi: 10.1097/MLR.0b013e3181893c77.
8
Medicare interim payment system's impact on Medicare home health utilization.医疗保险临时支付系统对医疗保险家庭健康服务利用情况的影响。
Health Care Financ Rev. 2003 Fall;25(1):81-97.
9
Access to postacute nursing home care before and after the BBA. Balanced Budget Act.《平衡预算法案》（BBA）前后进入急症后护理院的情况。平衡预算法案。
Health Aff (Millwood). 2002 Sep-Oct;21(5):254-64. doi: 10.1377/hlthaff.21.5.254.
10
Medicare home health care patient case-mix before and after the Balanced Budget Act of 1997: effect on dual eligible beneficiaries.1997年《平衡预算法案》前后医疗保险家庭医疗患者的病例组合：对双重资格受益人的影响
Home Health Care Serv Q. 2014;33(1):58-76. doi: 10.1080/01621424.2013.870100.
引用本文的文献
1
National Trends and Geographic Variation in Availability of Home Health Care: 2002-2015.2002 - 2015年家庭医疗保健可及性的全国趋势及地理差异
J Am Geriatr Soc. 2017 Jul;65(7):1434-1440. doi: 10.1111/jgs.14811. Epub 2017 Mar 21.
2
A portrait of older californians with disabilities who rely on public services to remain independent.一幅关于依赖公共服务以保持独立的加州残疾老年人的画像。
Home Health Care Serv Q. 2012;31(4):317-36. doi: 10.1080/01621424.2012.734744.
3
Use of the emergency department for less-urgent care among type 2 diabetics under a disease management program.在疾病管理计划下，2 型糖尿病患者在急诊科使用较少紧急护理。
BMC Health Serv Res. 2009 Dec 7;9:223. doi: 10.1186/1472-6963-9-223.
4
Changes in regional variation of Medicare home health care utilization and service mix for patients undergoing major orthopedic procedures in response to changes in reimbursement policy.因报销政策变化，接受重大骨科手术患者的医疗保险家庭医疗保健利用和服务组合的区域差异变化。
Health Serv Res. 2009 Aug;44(4):1232-52. doi: 10.1111/j.1475-6773.2009.00983.x. Epub 2009 Jun 3.
5
Ownership status and home health care performance.所有权状态与家庭医疗保健绩效。
J Aging Soc Policy. 2009 Apr-Jun;21(2):130-43. doi: 10.1080/08959420902728751.
6
A data mining approach in home healthcare: outcomes and service use.家庭医疗保健中的数据挖掘方法：结果与服务使用情况
BMC Health Serv Res. 2006 Feb 24;6:18. doi: 10.1186/1472-6963-6-18.
7
Initial home health outcomes under prospective payment.前瞻性支付下的初始家庭健康结果
Health Serv Res. 2005 Feb;40(1):177-93. doi: 10.1111/j.1475-6773.2005.00348.x.
本文引用的文献
1
Utilization of home health services before and after the Balanced Budget Act of 1997: what were the initial effects?1997年平衡预算法案前后家庭健康服务的使用情况：初步影响是什么？
Health Serv Res. 2003 Feb;38(1 Pt 1):85-106. doi: 10.1111/1475-6773.00106.
2
Rural home health agencies: the impact of the Balanced Budget Act.
Policy Anal Brief W Ser. 2000 Apr;3(2):1-4.
3
4
The storm before the calm before the storm. Medicare home care in the wake of the Balanced Budget Act.
Care Manag J. 2000 Winter;2(4):232-7.
5
Medicare home health before and after the BBA.《预算平衡法案》前后的医疗保险家庭健康服务
Health Aff (Millwood). 2001 May-Jun;20(3):189-98. doi: 10.1377/hlthaff.20.3.189.
6
Beyond managed long-term care: paying for home care based on risk of adverse outcomes.超越管理式长期护理：基于不良结局风险支付居家护理费用。
Health Aff (Millwood). 2001 May-Jun;20(3):172-80. doi: 10.1377/hlthaff.20.3.172.
7
Community care demonstrations: what have we learned?社区护理示范：我们学到了什么？
Health Care Financ Rev. 1987 Summer;8(4):87-100.
8
Perspectives on home care quality.居家护理质量的观点。
Health Care Financ Rev. 1994 Fall;16(1):69-89.
9
Measuring and assuring the quality of home health care.衡量和确保家庭医疗保健的质量。
Health Care Financ Rev. 1994 Fall;16(1):35-67.
10
Home health care outcomes under capitated and fee-for-service payment.按人头付费和按服务收费模式下的家庭医疗保健结果
Health Care Financ Rev. 1994 Fall;16(1):187-222.
Zotero 插件