Effects of Medicare Payment Reform: Evidence from the Home Health Interim and Prospective Payment Systems / Peter J. Huckfeldt, Neeraj Sood, José J. Escarce, David C. Grabowski, Joseph P. Newhouse.

Format:

Book

Author/Creator:

Huckfeldt, Peter J.

Contributor:

National Bureau of Economic Research.

Sood, Neeraj.

Escarce, José J.

Grabowski, David C.

Newhouse, Joseph P.

Series:

Working Paper Series (National Bureau of Economic Research) no. w17870.

NBER working paper series no. w17870

Language:

English

Physical Description:

1 online resource: illustrations (black and white);

Place of Publication:

Cambridge, Mass. National Bureau of Economic Research 2012.

Summary:

Medicare continues to implement payment reforms that shift reimbursement from fee-for-service towards episode-based payment, affecting average and marginal reimbursement. We contrast the effects of two reforms for home health agencies. The Home Health Interim Payment System in 1997 lowered both types of reimbursement; our conceptual model predicts a decline in the likelihood of use and costs, both of which we find. The Home Health Prospective Payment System in 2000 raised average but lowered marginal reimbursement with theoretically ambiguous effects; we find a modest increase in use and costs. We find little substantive effect of either policy on readmissions or mortality.

Notes:

Print version record

February 2012.