Adoption of Retrospective Medicare Maximization Billing Practices by State Medicaid Home Care Programs

Journal of Health Politics, Policy and Law

Volumn 28, Issue 5, 2003, Pages 859-881

  Anderson, Wayne L ^a   Kenney, Genevieve S ^a   Rabiner, Donna J ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

COST BENEFIT ANALYSIS; COST CONTROL; COST UTILITY ANALYSIS; FINANCIAL MANAGEMENT; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH INSURANCE; HEALTH PROGRAM; HOME CARE; HUMAN; MEDICAID; MEDICARE; MONEY; REIMBURSEMENT; RETROSPECTIVE PAYMENT; REVIEW; UNITED STATES;

COSTS AND COST ANALYSIS; HOME CARE SERVICES; INSURANCE CLAIM REPORTING; MEDICAID; MEDICARE; REIMBURSEMENT MECHANISMS; STATE HEALTH PLANS; UNITED STATES;

EID: 0142094632     PISSN: 03616878     EISSN: None     Source Type: Journal    
DOI: 10.1215/03616878-28-5-859     Document Type: Review

References (10)

1. Anderson, G. F., and P. S. Hussey. 2000. Population Aging: A Comparison among Industrialized Countries. Health Affairs 19(3):191-202.
2. Anderson, W. L. 2001. The Adoption and Effects of State Medicaid Home Care Medicare Maximization Programs. Ph.D. diss., University of North Carolina at Chapel Hill.
3. Burwell, B. 1999. Medicaid Long-Term Care Expenditures in Fiscal Year 1998. Internal memorandum, Medstat Group, Cambridge, MA, April.
4. Cohen, M., and A. Tumlinson. 1997. Understanding the State Variation in Medicare Home Health Care: The Impact of Medicaid Program Characteristics, State Policy, and Provider Attributes. Medical Care 35(6):618-633.
5. Health Care Financing Administration (HCFA) (now the Centers for Medicare and Medicaid Services [CMS]). 1999. A Profile of Medicare Home Health: A Chart Book. GPO Report No. 1999-771-472. Washington, DC: U.S. Government Printing Office.
6. Kenney, G., S. Rajan, and S. Soscia. 1998. State Spending for Medicare and Medicaid Home Care Programs. Health Affairs 17(1):201-212.
7. Pear, R. 1998. Home-Care Denial in Medicare Cases Is Ruled Improper. New York Times, 15 February, A1.
8. Rodat, C. (executive director, New York Home Health Care Association). 1999. Personal communication with author (telephone conversation), 24 September.
9. Schore, J. 1995. Regional Variation in the Use of Medicare Home Health Services. In Persons with Disabilities: Issues in Health Care Financing and Service Delivery, ed. J. M. Wiener, S. B. Clauser, and D. L. Kennell. Washington, DC: Brookings Institution.
10. Young, S. (executive director, Home Care Association of New Hampshire). 1999. Personal communication with author (telephone conversation), 17 September.