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Direct linkMeng, Hongdao; Friedman, Bruce; Wamsley, Brenda R.; Van Nostrand, Joan F.; Eggert, Gerald M. – Journal of Rural Health, 2010
Purpose: To examine the impact of an experimental consumer-choice voucher benefit on the selection of independent and agency personal assistance services (PAS) providers among rural and urban Medicare beneficiaries with disabilities. Methods: The Medicare Primary and Consumer-Directed Care Demonstration enrolled 1,605 Medicare beneficiaries in 19…
Descriptors: Disabilities, Rural Urban Differences, Counties, Probability
McAuley, William J.; Spector, William; Van Nostrand, Joan – Journal of Rural Health, 2008
Context: The Balanced Budget Act (BBA) of 1997 and other recent policies have led to reduced Medicare funding for home health agencies (HHAs) and visits per beneficiary. Purpose: We examine the staffing characteristics of stable Medicare-certified HHAs across rural and urban counties from 1996 to 2002, a period encompassing the changes associated…
Descriptors: Home Health Aides, Counties, Federal Programs, Federal Legislation
Hartman, Lacey; Jarosek, Stephanie L.; Virnig, Beth A.; Durham, Sara – Journal of Rural Health, 2007
Context: Availability of Medicare-certified home health care (HHC) to rural elders can prevent more expensive institutional care. To date, utilization of HHC by rural elders has not been studied in detail. Purpose: To examine urban-rural differences in Medicare HHC utilization. Methods: The 2002 100% Medicare HHC claims and denominator files were…
Descriptors: Rural Areas, Rural Urban Differences, Older Adults, Access to Health Care
