Remodeling Home Care : Making the Transition from Fee-for-Service to Managed Care Book

Preface; Acknowledgments; Tables and Figures; Chapter 1: Introduction; Organizational and Management Responses to Competition; Significance of the Study; Chapter 2: Review of the Literature; Home Care Agencies in the United States; A Brief History of Home Care's Evolution; The Changing Reimbursement Environment for Home Care; Variations in Home Health Utilization; Utilization, Access, Outcomes and Cost Effectiveness; Fragmentation in the Structure of Home Care Services; DME and Home Infusion; Managed Care and Home Care; Economics and Home Care; Organizational Theory and Home Care; Organizational Structure; Organizational Relationships; Organizational Stability and Change; Summary; Chapter 3: Methodology; Aim; Research Question and Hypotheses; Study Population and Data Sources; Sampling Procedures; Types and Sources of Data; Validation; Data Collection Issues; Method of Analysis; Summary; Chapter 4: Findings;Financial Issues; Agency Characteristics and Structure; Services and Utilization; Management and Operations; Summary; Chapter 5: Study Conclusions and Implications; Overview; Study Participants and Data Issues; Summary, Discussion and Research Agenda for Four Key Areas; Financial Issues; Agency Characteristics and Structure; Services and Utilization; Management and Operations; Policy Implications and Future Research; Note; Appendices; References; Index.