A Preliminary Case-Mix Classification System for Medicare Home Health Clients

Bibliographic Data

ID9101835
AuthorsLaurence G Branch (Boston University, corresponding author), Henry B Goldberg, Henry Goldberg
Year1993
Volume31
Issue4
Pages309-321
Publication date1993-04-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-199304000-00003
PMID8464248
OpenAlexW2031121844
LanguageEN
Citations received5

In this study, a hierarchical case-mix model was developed for grouping Medicare home health beneficiaries homogeneously, based on the allowed charges for their home care. Based on information from a two-page form from 2,830 clients from ten states and using the classification and regression trees method, a four-component model was developed that yielded 11 case-mix groups and explained 22% of the variance for the test sample of 1,929 clients. The four components are rehabilitation, special care, skilled-nurse monitoring, and paralysis; each are categorized as present or absent. The range of mean-allowed charges for the 11 groups in the total sample was $473 to $2,562 with a mean of $847. Of the six groups with mean charges above $1,000, none exceeded 5.2% of clients; thus, the high-cost groups are relatively rare

Business · Case mix index · Family medicine · Health care · Home health · Sample (material) · Statistics · Test (biology) · Variance (accounting) · Geriatric Care and Nursing Homes · Mathematics · Medicine · Nursing · Psychology · Gerontology

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