1. Chapter 6 Home Health

2. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.2 Number of Medicare-Certified Home Health Agencies, 1967-2000 7152 7747 8080 9120 5983 1753 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000 196719851995199819992000

3. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.3 Medicare-Certified Home Care Agencies, by Auspice 0 500 1,000 1,500 2,000 2,500 3,000 3,500 196719801990199819992000 Rehab/SNF Other Nonprofit Hospital VNA/Public Proprietary

4. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.4 Medicare Home Care Beneficiaries, 1974-1999 (in millions) 0 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 19741980198819961999

5. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.5 Medicare Home Care Visits, 1974-1999 0 50 100 150 200 250 300 19741978198219841986198819901992199419961998 Number of Visits (in millions)

6. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.6 Medicare Home Care Reimbursement 1974-1999 0 2 4 6 8 10 12 14 16 18 19741978198219841986198819901992199419961998 Reimbursement (in millions)

7. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.7 Number of Private Home Health Agencies 4,824 5,755 6,239 7,897 8,883 12,250 0 2,000 4,000 6,000 8,000 10,000 12,000 14,000 198919911993199519971999

8. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.8 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

9. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.9 Medicare 61% Medicaid 14% Private Insurance 8% Out-of-pocket 3% Other & Unknown 14% Sources of Payment for Home Care, 1994

10. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.10 Medicaid 9% Private Insurance 14% Out-of- pocket 20% Other & Unknown 21% Medicare 36% Sources of Payment for Home Care, 1998 (total = $29.3 billion)

11. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.11 Medicaid 10% Private Insurance 22% Out-of- pocket 32% Other & Unknown 6% Medicare 30% Sources of Payment for Home Care, 1999 (total = $28.7 billion)

12. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.12 Medicaid 11% Private Insurance 22% Out-of- pocket 31% Other & Unknown 6% Medicare 30% Sources of Payment for Home Care, 2000 (total = $36.6 billion)