Abstract

In order to decrease the escalating costs of home care and extend the solvency of the Medicare trust fund, major changes in home care reimbursement were mandated by the Balanced Budget Act of 1997. The Interim Payment System, required by the Balanced Budget Act, altered the method of payment for home healthcare agencies from a retrospective cost-based system to a per-episode aggregate limit as home healthcare agencies prepared for a Prospective Payment system to be implemented by October of 2000. This study examined the impact of the Interim Payment System on home healthcare agencies across Ohio. As a retrospective, explanatory study designed to identify associations and differences between home healthcare delivery systems, caseload and utilization variables from (pre-IPS) 1996 and (post-IPS) 1999, alterations in home healthcare agencies were described. Descriptive statistics were used to explore the data.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3039472; ProQuest document ID: 251692257. The author still retains copyright.

Author Details

Abigail A. Gerding, PhD, RN

Sigma Membership

Mu Alpha

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Observational

Research Approach

Quantitative Research

Keywords:

Payment for Health Care, Home Care, Homecare in Ohio

Advisor

Pamela J. Salsberry

Degree

PhD

Degree Grantor

The Ohio State University

Degree Year

2002

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2019-09-18

Full Text of Presentation

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