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Home health and home care in Massachusetts after the Balanced Budget Act of 1997
 — implications of cost containment pressures for service authorizations
Author(s)Francis G Caro, Frank W Porell, Donna M Sullivan
Journal titleHome Health Care Services Quarterly, vol 21, no 1, 2002
Pagespp 47-66
Sourcehttp://www.tandfonline.com
KeywordsDomiciliary services ; Therapeutic services [domiciliary] ; Costs [care] ; Grant allocation ; United States of America.
AnnotationThis paper explores the response of the Massachusetts state-funded home care programme when its clients encountered barriers to the receipt of home health services because of health maintenance organization (HMO) enrolment and the implementation of the Balanced Budget Act of 1997. Clients of three regional case management agencies serving the Massachusetts state home care programme, whose home care services were interrupted because of admission to hospital between January 1 and April 30 1999 and whose services were resumed after they returned home, were studied. The findings raise policy questions regarding the balance of responsibility between the federal government and states to provide financing of home care services for older adults. (KJ/RH).
Accession NumberCPA-021028207 A
ClassmarkN: N3: QDC: QCG: 7T

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