Determinants and costs of Medicare post-acute care provided by SNFs and HHAs.
PubMedPublished 1 January 1998
Korbin Liu, D Wissoker, C Rimes
Citations23
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Data from the Medicare Current Beneficiary Survey is used to shed light on responses that need to be monitored in light of the recently mandated policies and other SNF and HHA options that are being considered.
Abstract
Provisions in the 1997 Balanced Budget Act affecting Medicare skilled nursing facility (SNF) and home health agency (HHA) services heighten the importance of knowing more about beneficiary, market, and policy factors that impact use of post-acute care and the costs of such services. This study used data from the Medicare Current Beneficiary Survey and other sources to address these issues. Findings shed light on responses that need to be monitored in light of the recently mandated policies and other SNF and HHA options that are being considered.
Keywords
Social SciencesHealth ProfessionsEconomics, Econometrics and Finance
Econometric Models and Economic Forecasts
5,027 Citations1990Robert S. Pindyck, Daniel L. Rubinfeld
PubMedA profile of the Medicare Current Beneficiary Survey.
277 Citations1994Gerald Adler
The logic, methods, and capabilities of a major new source of data on the Medicare population, the Medicare Current Beneficiary Survey (MCBS), and the analytic strengths of the resulting data are presented.
PubMedThe effects of Medicaid reimbursement method and ownership on nursing home costs, case mix, and staffing.
91 Citations1990J W Cohen, L C Dubay
The effects of ownership and Medicaid cost containment initiatives on nursing home costs, payer mix, case mix, and staffing, using 1981 Medicare cost reports and Medicare/Medicaid Automated Certification files are analyzed.
Research on AgingPredicting Elderly Nursing Home Admissions
89 Citations1990Raymond J. Hanley, Lisa Alecxih +2 more
Three of four measures of informal support availability and use were not significantly related to nursing home admission by the disabled, and income and asset wealth were also nonsignificant predictors of institutionalization by thedisabled community population.
Medical CareExplaining Area Variation in the Use of Medicare Home Health Services
87 Citations1992Genevieve Kennedy, Lisa Dubay
The study shows that Medicare reimbursement ceilings may constrain use and that access may be a problem for beneficiaries in areas with fewer agencies per enrollee, and points to significant regional variation in the proportion of beneficiaries who use home health services, even with controls for many different explanatory variables.
Journal of the American Geriatrics SocietyUse of Post‐Hospital Care by Medicare Patients
75 Citations1996Robert L Kane, Michael Finch +4 more
The characteristics of patients, cities, and hospitals associated with discharge to these different types of post‐hospital care are examined.
Medical CareUnderstanding the State Variation in Medicare Home Health Care
56 Citations1997Marc Cohen, Anne Tumlinson
The authors' analysis shows that interaction exists between state policies and use of the Medicare home health benefit, and the overlap between the population served and the services provided by state programs and Medicare has given states and providers an opportunity to leverage Federal dollars in lieu of state program dollars.
PubMedA profile of home health users in 1992.
55 Citations1994Elizabeth Mauser, Nancy A. Miller
In this article, the 1992 Medicare Current Beneficiary Survey is used to profile home health users and Tobit models are estimated to determine the factors that predict home health utilization and reimbursement.
Journal of the American Geriatrics SocietyPredictors of Formal Home Health Care Use in Elderly Patients after Hospitalization
52 Citations1993Daniel Solomon, Daymond Wagner +4 more
The incidence of and risk factors for home health care use in a cohort of elderly medical and surgical patients discharged from acute care and its predictors have not been well studied are studied.
PubMedImproving the AAPCC (adjusted average per capita cost) with health-status measures from the MCBS (Medicare Current Beneficiary Survey).
50 Citations1996Leonard Gruenberg, E Kaganova +1 more
A comprehensive model incorporating demographic, diagnostic, perceived health, and disability variables is shown to be stable and to fit the data well over the full range of Medicare-covered annual per capita expenses and for a variety of beneficiary subgroups defined by their health and functional status.
PubMedThe nursing home market and hospital discharge delays.
30 Citations1990G Kenney, John Holahan
It is found that patients experience more discharge delays at hospitals located in areas with few nursing home beds and in states with prospective Medicaid nursing home reimbursement policies.
PubMedPost-hospital home health care for Medicare patients.
28 Citations1994Robert L Kane, M Finch +4 more
Patients in five diagnosis-related groups associated with heavy use of post-hospital care discharged from 52 hospitals in 3 cities were followed up at 6 weeks, 6 months, and 1 year to determine the factors associated with their being discharged home with or without home health care and the correlates of improvement in their functional status.
PubMedHospital ownership of post-acute care: does it increase access to post-acute care services?
22 Citations1996Blewett La, Kane Rl +1 more
Patients were more likely to receive PAC if they were discharged from a hospital that either owned post-acute care or served a high proportion of Medicare patients, and patient characteristics were more consistent predictors of post-ACute care use across the DRGs studied.
PubMedBundling post-acute care (PAC) with Medicare DRG payments: an exploration of the distributional and risk consequences.
11 Citations1996A J Lee, Randall P. Ellis +1 more
It is found that hospital-level risk actually would be reduced if post-acute care were bundled with the DRG payments for inpatient stays, and paying for both on an all-inclusive, single-free basis.