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. 1993 Summer;14(4):59-74.

Medicare home health: a description of total episodes of care

L G Branch  1 , H B Goldberg, V A Cheh, J Williams
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Medicare home health: a description of total episodes of care

L G Branch et al. Health Care Financ Rev. 1993 Summer.

Abstract

The purpose of this study was to present descriptive information on the characteristics of 2,873 Medicare home health clients, to quantify systematically their patterns of service utilization and allowed charges during a total episode of care, and to clarify the bivariate associations between client characteristics and utilization. The model client was female, 75-84 years of age, living with a spouse, and frail based on a variety of indicators. The mean total episode was approximately 23 visits, with allowed charges of $1,238 (1986 dollars). Specific subgroups of clients, defined by their morbidities and frailties, used identifiable clusters of services. Implications for case-mix models and implications for capitation payments under health care reform are discussed.

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References

    1. Branch LG, Goldberg HB, Cheh VA. Concordance Between Planned and Approved Visits During Initial Home Care. Health Care Financing Review. 1991 Fall;13(1):83–91. - PMC - PubMed
    1. Branch LG, Goldberg HB. A Preliminary Case-mix Classification System for Medicare Home Health Clients. Medical Care. 1993;31(4):309–321. - PubMed
    1. Letsch SW, Lazenby HC, Levit KR, Cowan CA. National Health Expenditures, 1991. Health Care Financing Review. 1992 Winter;14(2):1–30. - PMC - PubMed
    1. Noether M. Changes in Patient Severity and Hospital Utilization Measured with MEDISGRPS. Abt Associates; Cambridge, MA.: 1988. Contract Number 500-85-0015. Prepared for the Health Care Financing Administration.
    1. Prospective Payment Assessment Commission. Medicare and the American Health Care System: Report to Congress. Washington: U.S. Government Printing Office; Jun, 1993.

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