10.1177/0898264305276288
JOURNAL OF AGING AND HEALTH / June 2005
Lin, Meit / CHANGES IN MEDICARE USE AND PRACTICE
Changes in Medicare Home
Health Care Use and Practices
in Rural Communities
1997 to 2001
Chyongchiou Jeng Lin
Michael Meit
University of Pittsburgh
Objectives: This research was designed to examine the impact of the interim and pro-
spective payment systems on home health agencies and Medicare beneficiaries in
rural communities. Methods: Data were collected from two complementary studies:
(a) fiscal and use data collected from 10 rural agencies in northwest Pennsylvania and
(b) a statewide survey of rural home health agencies in Pennsylvania. Results: The
findings show that the implementation of interim and prospective payment systems
had a profound affect on the home health agencies’ financial vulnerability, staffing
management, and service delivery. As a result, Medicare beneficiaries were also
affected. The total number of home health visits per episode in rural Pennsylvania was
16 visits, whereas the national estimate was 22 visits. Physical therapy services
increased 8% and occupational therapy services increased 1%, whereas visits for
other disciplines decreased or remain unchanged. Discussion: Future studies are
needed to examine the health outcomes of beneficiaries in rural communities.
Keywords: home health; Medicare; prospective payment system
Between 1990 and 1997, Medicare spending on home health services
grew from $3.7 billion to $17.8 billion (Center for Medicare and
Medicaid Services, 2003; Medicare Payment Advisory Commission,
2002, 2003; Figure 1). The rapidly rising home health costs served as
351
AUTHORS’ NOTE: This research was partly supported by the Health Resources and Ser-
vices Administration, Federal Office of Rural Health Policy, and by the Center for Rural Penn-
JOURNAL OF AGING AND HEALTH, Vol. 17 No. 3, June 2005 351-362
DOI: 10.1177/0898264305276288
© 2005 Sage Publications