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Medicare: Home Health Agencies With High Visit Rates Skew Averages

HEHS-97-139R Published: Jun 02, 1997. Publicly Released: Jun 02, 1997.
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Highlights

Pursuant to a congressional request, GAO reviewed Medicare's reimbursement of home health agencies (HHA), focusing on whether: (1) there are reasons why proprietary HHAs provide more visits than voluntary and governmental agencies; (2) there is any justification for the extra visits; and (3) the skewing effect of the high visit rates by proprietary agencies could be removed when calculating the number of visits for purposes of devising a prospective payment system (PPS) for home health.

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