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When World Views Collide: A Commentary on Home Health Care Case-Mix and Patient Outcomes

Robert Ferry Jeffrey W. Elias

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Abstract

The Health Care Financing Administration (HCFA) has developed a prospective payment system for home-health care that is primarily focused on cost-containment. This new payment system results in a change in a case-mix for treatment that was more care-outcome based. The new case mix is compared to the old case mix with respect to research that is ignored regarding care outcome.

About this research paper

What this paper is about

The Health Care Financing Administration (HCFA) has developed a prospective payment system for home-health care that is primarily focused on cost-containment. This new payment system results in a change in a case-mix for treatment that was more care-outcome based. The new case mix is compared to the old case mix with respect to research that is ignored regarding care outcome.

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OpenAlex reports 16 citations for this work. Citation counts describe recorded attention and do not establish research quality.

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Available abstract

The Health Care Financing Administration (HCFA) has developed a prospective payment system for home-health care that is primarily focused on cost-containment. This new payment system results in a change in a case-mix for treatment that was more care-outcome based. The new case mix is compared to the old case mix with respect to research that is ignored regarding care outcome.

Key concepts: Case mix index, Prospective payment system, Payment, Health care financing, Health care, Outcome (game theory), Business, Administration (probate law)

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