Notes that prospective payment led to sharp reductions in home health service use and no apparent effect on quality of care. Furthermore, the use of other Medicare-reimbursed services (such as hospital stays) did not increase, nor did the use of informal or other care. The new payment method...

This study examined the characteristics and service use of Medicaid Buy-In participants with higher incomes (above 250 percent of the federal poverty line), relative to participants with lower incomes. The study found higher-income participants were less likely to enroll in Medicare and more...

Expanded community care for the frail elderly has been advocated based on its potential for financial cost saving. However, the evaluation found that average costs increased: the cost of expanding publicly financed case management and formal community services beyond what already was provided...

This study examined the characteristics and service use of Medicaid Buy-In participants with higher incomes (above 250 percent of the federal poverty line), relative to participants with lower incomes. The study found higher-income participants were less likely to enroll in Medicare and more...

Reports on the results of a national demonstration that tested whether paying home health agencies a fixed sum in advance for an episode of care would reduce use of services without adversely affecting quality of care. Finds that most prospectively paid agencies dramatically lowered their visits...