PMID: 9191706Jun 1, 1997Paper

Understanding the state variation in Medicare home health care. The impact of Medicaid program characteristics, state policy, and provider attributes

Medical Care
M A Cohen, A Tumlinson

Abstract

During the past 7 years there has been a significant increase in the use of the Medicare home health benefit. In this article, the authors document trends in the use of the benefit and develop multivariate models to identify the factors that explain state variation in its use. To develop quantitative models, the authors collected state information on all variables for each of 3 years: 1991, 1992, and 1993. The authors chose to focus on those variables that had been found to be significant in other research as well as those that we posited would likely influence utilization. The authors tested similar sets of explanatory variables for each year of the analysis. The unit of analysis is the "state" and depending on data availability, the number of states included in the analyses range from between 46 to 49. (Arizona does not have a state Medicaid program.) The authors' analysis shows that interaction exists between state policies and use of the benefit. Utilization is higher in states that face greater fiscal pressure concerning their Medicaid budgets; the lack of state personal care programs increases Medicare use, and, when Medicaid home health expenditures decline, the number of Medicare home health care users increases. There ...Continue Reading

References

Jan 1, 1992·Medical Care·G M Kenney, L C Dubay
Jan 1, 1993·Health Affairs·C Bishop, K C Skwara

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Citations

Nov 3, 1998·Journal of General Internal Medicine·H Day, B Kinosian
Mar 20, 2012·Home Health Care Services Quarterly·Joan K Davitt
Sep 25, 2010·Journal of Gerontological Social Work·Joan K Davitt, Lenard W Kaye
Oct 5, 2001·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·K LiuC Aragon
Oct 23, 2004·The Gerontologist·William J McAuleyTom Shaffer
Dec 6, 2005·The Gerontologist·Nancy A MillerCharlene Harrington
Jul 15, 2009·The Gerontologist·Richard H FortinskyAlison Kleppinger
Aug 31, 2002·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Nanako TamiyaEiji Yano
Aug 14, 2010·Medical Care·Melinda Beeuwkes BuntinJosé J Escarce
May 23, 2002·Home Health Care Services Quarterly·C E Adams, Y Michel
May 23, 2002·Home Health Care Services Quarterly·K LiuH Kapustka
Nov 25, 2003·Home Health Care Services Quarterly·Wayne L AndersonGenevieve S Kenney
Sep 29, 2006·Inquiry : a Journal of Medical Care Organization, Provision and Financing·David C GrabowskiNancy L Keating
Apr 2, 2004·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Martin KitchenerCharlene Harrington
May 27, 2004·Journal of the American Geriatrics Society·Carolyn Wei Zhu
Aug 11, 2006·Health Services Research·Wen-Chieh LinGregory F Petroski
Dec 12, 2007·The Milbank Quarterly·David C Grabowski
Dec 13, 2005·Social Science & Medicine·Edward Alan Millar
Mar 4, 2003·Journal of Aging and Health·John Capitman
Mar 10, 2001·Medical Care Research and Review : MCRR·N A MillerC Harrington
Nov 22, 2007·Western Journal of Nursing Research·Catherine Prouty Vanderboom, Elizabeth A Madigan
Jun 13, 2003·Medical Care Research and Review : MCRR·Wayne L AndersonWilliam H Dow
Mar 15, 2002·Journal of Aging and Health·Nancy A MillerElizabeth Goldstein
Feb 10, 1998·Health Affairs·G KenneyS Soscia
Oct 10, 2015·Clinical Journal of the American Society of Nephrology : CJASN·Guofen YanKeith C Norris
Aug 20, 2005·Journal of the American Geriatrics Society·Brahmajee K NallamothuKenneth M Langa
Feb 13, 1999·American Journal of Industrial Medicine·J D Meyer, C Muntaner

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