The Past, Present, and Future of Skilled Home Health Agency Care

Murkofsky, Rachel L.; Alston, Karen

doi:10.1016/j.cger.2008.11.006

Cited by 26 publications

(29 citation statements)

References 26 publications

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“…National Center for Health Statistics in the home health care industry since 2000 (2,4,11). Expansion of Medicare payment and covered hospice care services may also have increased the supply of hospices (3,9).…”

Section: Us Department Of Health and Human Services Centers For Dismentioning

confidence: 99%

“…The findings of this analysis, therefore, should be considered as preliminary, suggesting a number of questions that could be explored in future research including: Include agencies that provide both home health and hospice care services (mixed). 2 Include agencies that provide home health care services, hospice care services, or both types of services, and currently or recently served home health and/or hospice care patients. Agencies that provided only homemaker services or housekeeping services, assistance with instrumental activities of daily living (IADLs), or durable medical equipment and supplies were excluded from the survey.…”

Section: Changes In Services Provided By Mixed Agenciesmentioning

confidence: 99%

“…Agencies that provided only homemaker services or housekeeping services, assistance with instrumental activities of daily living (IADLs), or durable medical equipment and supplies were excluded from the survey. 2 A metropolitan statistical area is a county or group of contiguous counties that contains at least one urbanized area of 50,000 or more population. May also contain other counties that are economically and socially integrated with the central county as measured by commuting.…”

Section: Changes In Services Provided By Mixed Agenciesmentioning

confidence: 99%

“…Home health and hospice care has grown over recent years (1)(2)(3)(4). This growth may be due to a combination of factors.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Home Health and Hospice Care Agencies by Organizational Characteristics and Services Provided: United States, 2007

Park-Lee

Decker²

2010

PsycEXTRA Dataset

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Objective-This report presents national estimates of the organizational characteristics of home health and hospice care agencies in 2007. Comparisons of organizational characteristics and provision of selected services are made by agency type. A comparison of selected characteristics between 1996 and 2007 is also provided to highlight changes that have occurred leading to the current composition of the home health and hospice care sector.

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Section: Us Department Of Health and Human Services Centers For Dismentioning

confidence: 99%

Section: Changes In Services Provided By Mixed Agenciesmentioning

confidence: 99%

Section: Changes In Services Provided By Mixed Agenciesmentioning

confidence: 99%

“…Home health and hospice care has grown over recent years (1)(2)(3)(4). This growth may be due to a combination of factors.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of Home Health and Hospice Care Agencies by Organizational Characteristics and Services Provided: United States, 2007

Park-Lee

Decker²

2010

PsycEXTRA Dataset

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“…More recently, hospitals have increased referrals to home health care at discharge to prevent rehospitalization. Yet, an examination of the history of the home care industry in recent decades suggests that the availability of services, as measured by number of agencies and expenditures, is driven to a large extent by the financial environment the industry is facing (Murkofsky & Alston, 2009). Home health agencies seem to enter and exit the market as the financial attractiveness of the business changes.…”

Section: Introductionmentioning

confidence: 99%

The Policy Implications of the Cost Structure of Home Health Agencies

Mukamel¹,

Fortinsky²,

White³

et al. 2014

MMRR

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Purpose: To examine the cost structure of home health agencies by estimating an empirical cost function for those that are Medicare-certified, ten years following the implementation of prospective payment.Design and Methods: 2010 national Medicare cost report data for certified home health agencies were merged with case-mix information from the Outcome and Assessment Information Set (OASIS). We estimated a fully interacted (by tax status) hybrid cost function for 7,064 agencies and calculated marginal costs as percent of total costs for all variables. Results:The home health industry is dominated by for-profit agencies, which tend to be newer than the non-profit agencies and to have higher average costs per patient but lower costs per visit. For-profit agencies tend to have smaller scale operations and different cost structures, and are less likely to be affiliated with chains. Our estimates suggest diseconomies of scale, zero marginal cost for contracting with therapy workers, and a positive marginal cost for contracting with nurses, when controlling for quality. Implications:Our findings suggest that efficiencies may be achieved by promoting non-profit, smaller agencies, with fewer contract nursing staff. This conclusion should be tested further in future studies that address some of the limitations of our study.

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Home Health Care for Patients Without Shelter

2021

AMA Journal of Ethics

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The Past, Present, and Future of Skilled Home Health Agency Care

Cited by 26 publications

References 26 publications

Comparison of Home Health and Hospice Care Agencies by Organizational Characteristics and Services Provided: United States, 2007

Comparison of Home Health and Hospice Care Agencies by Organizational Characteristics and Services Provided: United States, 2007

The Policy Implications of the Cost Structure of Home Health Agencies

Home Health Care for Patients Without Shelter

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