• J Aging Soc Policy · Apr 2009

    Multicenter Study Comparative Study

    Ownership status and home health care performance.

    • David C Grabowski, Haiden A Huskamp, David G Stevenson, and Nancy L Keating.
    • Associate Professors of Health Economics, Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA. grabowski@hcp.med.harvard.edu
    • J Aging Soc Policy. 2009 Apr 1; 21 (2): 130-43.

    AbstractFew studies have analyzed for-profit and nonprofit differences in the home health care sector. Using data from the National Home and Hospice Care Survey, we found that patients in nonprofit agencies were more likely to be discharged within 30 days under Medicare cost-based payment compared to patients in for-profit agencies. However, this difference in length of enrollment did not translate into meaningful differences in discharge outcomes between nonprofit and for-profit patients, suggesting that-under a cost-based payment system-nonprofits may behave more efficiently relative to for-profits. These results highlight the importance of organizational and payment factors in the delivery of home health care services.

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