Chapter 6Home Health

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Number of Medicare-Certified Home Health Agencies, 1967-2000

715277478080

9120

5983

1753

0100020003000400050006000700080009000

10000

1967 1985 1995 1998 1999 2000

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Medicare-Certified Home Care Agencies, by Auspice

0

500

1,000

1,500

2,000

2,500

3,000

3,500

1967 1980 1990 1998 1999 2000

Rehab/SNF

Other Nonprofit

Hospital

VNA/Public

Proprietary

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Medicare Home Care Beneficiaries, 1974-1999

(in millions)

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

1974 1980 1988 1996 1999

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Medicare Home Care Visits, 1974-1999

0

50

100

150

200

250

300

1974

1978

1982

1984

1986

1988

1990

1992

1994

1996

1998

Nu

mb

er o

f V

isit

s (i

n m

illi

on

s)

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Medicare Home Care Reimbursement 1974-1999

02468

1012141618

1974

1978

1982

1984

1986

1988

1990

1992

1994

1996

1998

Re

imb

urs

eme

nt

(in

mill

ion

s)

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Number of Private Home Health Agencies

4,8245,755 6,239

7,8978,883

12,250

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

1989 1991 1993 1995 1997 1999

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• The following slides show the impact of the Balanced Budget Act of 1997 on Medicare payments for home health care.

Sources of Payment for Home Care

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Medicare61%

Medicaid14%

Private Insurance8%

Out-of-pocket3%

Other & Unknown14%

Sources of Payment for Home Care, 1994

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Medicaid9%

Private Insurance

14%

Out-of-pocket

20%

Other & Unknown

21%

Medicare36%

Sources of Payment for Home Care, 1998

(total = $29.3 billion)

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Medicaid10%

Private Insurance

22%

Out-of-pocket

32%

Other & Unknown

6%

Medicare30%

Sources of Payment for Home Care, 1999

(total = $28.7 billion)

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Medicaid11%

Private Insurance

22%

Out-of-pocket

31%

Other & Unknown

6%

Medicare30%

Sources of Payment for Home Care, 2000

(total = $36.6 billion)