Abstract
The number of Medicare-certified home health agencies nearly doubled from 1980 to 1990. Using Health Care Financing Administration data, this study documented national and regional patterns of entry and exist by Medicare home health providers from 1980 to 1990. Nationally, agency origination rates accelerated during the early 1980s and then dropped abruptly in the second half of the decade. The proprietary sector, accounting for approximately 42% of agencies in existence during the period of the study, exhibited the greatest volatility. Regional differences are also evident. Both expansion and contraction in Medicare home health services appear to be a response to the incentives of legislation implemented during this period.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Keenan J. M., Fanale J. E., Ripsin C., Billows L. A review of federal home-care legislation. J Am Geriatr Soc. 1990 Sep;38(9):1041–1048. doi: 10.1111/j.1532-5415.1990.tb04432.x. [DOI] [PubMed] [Google Scholar]
- Rappaport M., Wood J. B. Financing and home health agencies. Home Health Care Serv Q. 1989;10(3-4):131–147. doi: 10.1300/j027v10n03_09. [DOI] [PubMed] [Google Scholar]
- Scalzi C. C., Meyer M. Closures and mergers of VNA home care agencies: a model for the study of causal factors. Home Health Care Serv Q. 1991;12(4):113–125. doi: 10.1300/j027v12n04_08. [DOI] [PubMed] [Google Scholar]