Changes in the use of postacute care during the initial Medicare payment reforms.

ABSTRACT:

Objective

To examine changes in postacute care (PAC) use during the initial Medicare payment reforms enacted by the Balanced Budget Act of 1997.

Data sources

We used claims data from the 5 percent Medicare beneficiary sample in 1996, 1998, and 2000. Linked data from the Denominator file, Provider of Service file, and Area Resource File provided additional patient, hospital, and market-area characteristics.

Study design

Six disease groups with high PAC use were selected for analysis. We used multinomial logit regression to examine how PAC use differed by year of service, controlling for patient, hospital, and market-area characteristics.

Principal findings

There were major changes in PAC use, and a portion of services shifted to settings where reimbursement rema

SUBMITTER: Lin WC 

PROVIDER: S-EPMC1797075 | biostudies-literature | 2006 Aug

REPOSITORIES: biostudies-literature