Performance Improvement 2000. Home Health Care

01/01/2000

Evaluation of Phase II of the Home Health Agency Prospective Payment Demonstration

This demonstration is testing two alternative methods of paying home health agencies (HHA) on a prospective basis for services furnished under the Medicare program: (1) per visit by type of HHA visit discipline (Phase I), and (2) payment per episode of Medicare-covered home health care (Phase II). The evaluation will combine estimates of program impacts on cost, service use, access and quality, with detailed information on how agencies actually change their behavior to produce a full understanding of what would happen if prospective payment replaced the current cost-based reimbursement system nationally.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Meadow, Ann
410-786-6602

PIC ID: 7203

PERFORMER: Mathematica Policy Research, Inc.
Washington, DC

EXPECTED DATE OF COMPLETION: 09/30/2002

Maximizing the Cost Effectiveness of Home Health Care

Rapid growth in home health use has occurred despite limited evidence about the necessary volume of HHC needed to achieve optimal patient outcomes, and whether or not it substitutes for more costly institutional care. The central hypotheses of this study are that: (1) volume-outcome relationships are present in HHC for common patient conditions, (2) upper and lower volume thresholds define the range of services most beneficial to patients, and (3) a strengthened physician role and better integration of HHC with other services during an episode of care can optimize patient outcomes while controlling costs.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Meadow, Ann
410-786-6602

PIC ID: 7179

PERFORMER: Center for Health Policy Research
Denver, CO

EXPECTED DATE OF COMPLETION: 09/30/2000