Home Care in Rural America

Several provisions of the Balanced Budget Act of 1997 (BBA) have affected Medicare-covered home health care, including the interim payment system and the introduction of a prospective payment system for Medicare services. In two previous studies, Project HOPE examined the impact of the BBA on rural home health agencies (HHAs) and rural Medicare home care users.

This third examination of rural home care linked the two previous studies by profiling the types of HHAs providing services to rural beneficiaries. Using bivariate analyses, NORC examined the characteristics of agencies serving rural Medicare beneficiaries, including whether beneficiaries were served by an agency in their county.

This project was conducted as part of the Rural Health Research and Policy Center

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