Table 7. Use and cost of home health agency services under Medicare, by agency and type of visit: Calendar year 1988.
Utilization and type of visit | All agencies | Visiting nurse association | Combined Government and voluntary | Government | Hospital based | Proprietary | Private nonprofit | Other1 |
---|---|---|---|---|---|---|---|---|
Persons served in thousands | ||||||||
Total2 | 1,602 | 367 | 11 | 140 | 412 | 425 | 227 | 18 |
Nursing care | 1,449 | 331 | 10 | 129 | 373 | 386 | 204 | 16 |
Home health aide | 609 | 126 | 3 | 49 | 141 | 198 | 86 | 7 |
Physical therapy | 467 | 115 | 3 | 32 | 119 | 125 | 66 | 6 |
Other3 | 279 | 74 | 1 | 11 | 70 | 80 | 39 | 4 |
Percent of persons served | ||||||||
Total2 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 |
Nursing care | 90.5 | 90.2 | 91.5 | 91.9 | 90.4 | 90.6 | 89.9 | 89.7 |
Home health aide | 38.0 | 34.2 | 27.2 | 35.1 | 34.2 | 46.4 | 37.8 | 36.5 |
Physical therapy | 29.1 | 31.3 | 27.8 | 23.2 | 28.9 | 29.4 | 28.8 | 35.1 |
Other3 | 17.4 | 20.2 | 7.2 | 7.8 | 17.0 | 18.7 | 17.3 | 19.7 |
Visits in thousands | ||||||||
Total | 37,713 | 7,694 | 200 | 2,991 | 8,388 | 12,606 | 5,467 | 367 |
Nursing care | 19,289 | 4,122 | 109 | 1,494 | 4,515 | 6,113 | 2,754 | 180 |
Home health aide | 12,739 | 2,259 | 53 | 1,124 | 2,513 | 4,833 | 1,845 | 110 |
Physical therapy | 4,352 | 966 | 33 | 296 | 1,038 | 1,290 | 672 | 57 |
Other3 | 1,333 | 346 | 5 | 76 | 321 | 368 | 197 | 20 |
Percent of visits | ||||||||
Total | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 |
Nursing care | 51.1 | 53.6 | 54.7 | 50.0 | 53.8 | 48.5 | 50.4 | 49.1 |
Home health aide | 33.8 | 29.4 | 26.6 | 37.6 | 30.0 | 38.3 | 33.7 | 30.0 |
Physical therapy | 11.5 | 12.6 | 16.3 | 9.9 | 12.4 | 10.2 | 12.3 | 15.5 |
Other3 | 3.5 | 4.5 | 2.4 | 2.5 | 3.8 | 2.9 | 3.6 | 5.4 |
Visit charges in thousands | ||||||||
Total | $2,341,441 | $463,388 | $10,917 | $148,976 | $558,979 | $798,148 | $335,966 | $25,067 |
Nursing care | 1,310,774 | 277,061 | 6,782 | 83,439 | 326,194 | 420,040 | 184,088 | 13,171 |
Home health aide | 628,982 | 94,952 | 1,920 | 43,508 | 129,715 | 260,551 | 92,001 | 6,335 |
Physical therapy | 298,893 | 64,971 | 1,888 | 17,003 | 76,289 | 89,337 | 45,303 | 4,100 |
Other3 | 102,792 | 26,404 | 327 | 5,026 | 26,781 | 28,220 | 14,574 | 1,461 |
Percent of visit charges | ||||||||
Total | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 |
Nursing care | 56.0 | 59.8 | 62.1 | 56.0 | 58.4 | 52.6 | 54.8 | 52.5 |
Home health aide | 26.9 | 20.5 | 17.6 | 29.2 | 23.2 | 32.6 | 27.4 | 25.3 |
Physical therapy | 12.8 | 14.0 | 17.3 | 11.4 | 13.6 | 11.2 | 13.5 | 16.4 |
Other3 | 4.4 | 5.7 | 3.0 | 3.4 | 4.8 | 3.5 | 4.3 | 5.8 |
Average number of visits per person served | ||||||||
Total | 23.5 | 20.9 | 17.6 | 21.4 | 20.3 | 29.6 | 24.1 | 20.4 |
Nursing care | 13.3 | 12.4 | 10.5 | 11.6 | 12.1 | 15.9 | 13.5 | 11.2 |
Home health aide | 20.9 | 18.0 | 17.2 | 22.9 | 17.8 | 24.5 | 21.5 | 16.8 |
Physical therapy | 9.3 | 8.4 | 10.3 | 9.1 | 8.7 | 10.3 | 10.2 | 9.0 |
Other3 | 4.8 | 4.7 | 5.9 | 7.0 | 4.6 | 4.6 | 5.0 | 5.6 |
Average charge per visit | ||||||||
Total | $62 | $60 | $55 | $50 | $67 | $63 | $61 | $68 |
Nursing care | 68 | 67 | 62 | 56 | 72 | 69 | 67 | 73 |
Home health aide | 49 | 42 | 36 | 39 | 52 | 54 | 50 | 58 |
Physical therapy | 69 | 67 | 58 | 57 | 73 | 69 | 67 | 72 |
Other3 | 77 | 76 | 67 | 66 | 84 | 77 | 74 | 73 |
Average visit charge per person served | ||||||||
Total | $1,462 | $1,262 | $961 | $1,065 | $1,355 | $1,876 | $1,478 | $1,395 |
Nursing care | 904 | 836 | 652 | 649 | 875 | 1,089 | 901 | 817 |
Home health aide | 1,033 | 756 | 621 | 885 | 919 | 1,319 | 1,070 | 966 |
Physical therapy | 640 | 564 | 599 | 525 | 641 | 714 | 691 | 650 |
Other3 | 369 | 358 | 398 | 459 | 382 | 354 | 371 | 413 |
Includes rehabilitation and skilled nursing facility-based agencies.
Detail does not add to total since persons may receive more than one type of service.
Includes speech or occupational therapy, medical social services, and other health disciplines.
SOURCE: Health Care Financing Administration, Bureau of Data Management and Strategy: Data are from the Medicare Decision Support System; data development by the Office of Research and Demonstrations.