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Intensive Home Health Care in the United States

Financing as Technology

Published online by Cambridge University Press:  10 March 2009

Daniel M. Fox ,
Kathleen S. Andersen ,
A. E. Benjamin  and
Linda J. Dunatov
Daniel M. Fox
Affiliation:
State University of New York, Stony Brook
Kathleen S. Andersen
Affiliation:
State University of New York, Stony Brook
A. E. Benjamin
Affiliation:
University of California, San Francisco
Linda J. Dunatov
Affiliation:
State University of New York, Stony Brook
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Abstract

This paper assesses the impact of mechanisms for financing intensive home health care services in the United States on their utilization. As lengths of stay have decreased in response to prospective payment methods for hospitals, demand has increased for intensive and complex services provided to patients in the home. Third-party payers, however, are willing to satisfy only some of this potential demand that their reimbursement policies have generated. It is the policies of payers rather than the safety and effectiveness of devices and procedures that are the major constraints on the expansion of intensive home health care. We describe the effects of these policies on who receives intensive home health care services, who provides them, what services are provided, how their quality is monitored, and what they cost.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 3 , Issue 4 , October 1987 , pp. 561 - 573
Copyright
Copyright © Cambridge University Press 1987

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