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)