Effect of Medicare home health care payment on informal care.

TitleEffect of Medicare home health care payment on informal care.
Publication TypeJournal Article
Year of Publication2009
AuthorsGolberstein, E, Grabowski, DC, Langa, KM, Chernew, ME
Date Published2009 Spring
ISSN Number0046-9580
Call Numbernewpubs20101012_Golberstein.pdf
KeywordsCaregivers, Confidence Intervals, Female, Health Care Surveys, Home Care Services, Humans, Male, Medicare, Organizational Policy, Reimbursement Mechanisms, United States

This paper assesses the effect of payment caps for Medicare home health care on the use of informal care by older adults with functional limitations. We find that individuals exposed to more restrictive payment caps offset reductions in Medicare home health care with increased informal care, although we only observe this effect for lower-income individuals. This suggests that home care payment restrictions may have increased the caregiving burden on some low-income families, but that many higher-income families were able to either forgo the care or finance it privately. Home care payment policies should recognize these effects, balancing costs of the program with the desire to protect families from the burdens associated with providing informal home care.

User Guide Notes


Endnote Keywords

Medicare/Home Care Services/Caregiver Status/home health care

Endnote ID


Alternate JournalInquiry
Citation Key7407
PubMed ID19489484
PubMed Central IDPMC3092523
Grant ListR36 HS017379 / HS / AHRQ HHS / United States
U01 AG009740 / AG / NIA NIH HHS / United States
U01 AG009740-18 / AG / NIA NIH HHS / United States
1 R36 HS017379-01 / HS / AHRQ HHS / United States