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Intensity of Service Provision for Medicare Beneficiaries Utilizing Home Health Services: A Closer Look at Cerebrovascular Disease, Diabetes, and Joint Replacement.

机译：利用家庭健康服务的医疗保险受益人的服务提供强度：仔细研究脑血管疾病，糖尿病和关节置换术。

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Medicare pays for home health (HH) services for beneficiaries who are homebound or for whom travel for care would be difficult or detrimental to health. These HH services are paid on a per-episode basis with an episode consisting of all services provided over a 60-day period. Each episode or claim can entail a varying number of visits; payment is adjusted to account for large differences in the number of visits. Patients with ongoing problems can receive more than one episode of care. In a report to the Congress, the Medicare Payment Advisory Commission (MEDPAC) recommended a significant reduction in HH payments and the introduction of cost-sharing for beneficiaries. Proposed payment reforms could have detrimental impacts on HH service provision to elderly persons in rural America given the financial vulnerability of rural HH agencies. Little is known about the current types of HH service and payments for these services across rural and urban Medicare beneficiaries. The research reported here examined the intensity of HH services per episode (number of visits and types of provider) and median payments per episode across levels of rurality. To ensure comparability between rural and urban patients, we restricted the analysis to patients receiving care for three conditions each analyzed separately: cerebrovascular disease (stroke and related diagnoses), diabetes and joint replacement.

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作者
Iyer, M.; Probst, J. C.; Bennett, K.; Bhavsar, G.;
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年度 2014
页码 1-20
总页数 20
原文格式 PDF
正文语种 eng
中图分类工业技术;
关键词
Medicare; Beneficiaries; Home health care; Health care costs; Cerebrovascular disease; Diabetes; Joint replacement; Stroke; Implications; Cost sharing; Elderly persons; Rural areas;

机译：医疗保险;受益人;家庭保健;医疗保健费用;脑血管疾病;糖尿病;关节置换;中风;影响;费用分摊;老年人;农村地区;

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Intensity of Service Provision for Medicare Beneficiaries Utilizing Home Health Services: A Closer Look at Cerebrovascular Disease, Diabetes, and Joint Replacement.

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