Tracing the history of medicare home health care: The impact of policy on benefit use

15Citations
Citations of this article
24Readers
Mendeley users who have this article in their library.

Abstract

We trace key policy changes that affected use of the Medicare home health benefit from the 1980s through the prospective payment system implemented in 2000, analyzing the impact on three measures of home care use: expenditures, users and visits. We demonstrate the impact of policies generated in the legislative, the judicial, and the executive branches of government and the gaming behavior of home health agencies in response to policy changes. Our analysis suggests that the policy itself and the implementation process are critical to understanding benefit use. The incentives in the policies and agency reactions had the potential to generate fraud in two directions, either over or underuse. Throughout this history, use of the benefit was driven less by patient need than by arbitrary interpretations of eligibility. These interpretations were in turn influenced by opposing ideologies favoring redistribution based on market principles versus those based on need.

Author supplied keywords

Cite

CITATION STYLE

APA

Davitt, J. K., & Choi, S. (2008). Tracing the history of medicare home health care: The impact of policy on benefit use. Journal of Sociology and Social Welfare, 35(1), 247–276. https://doi.org/10.15453/0191-5096.3323

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free