Medicare Home Health Care: OASIS Data Use, Cost, and Privacy Implications: GAO-01-205

January 2001
GAO Reports;1/30/2001, p1
Government Document
With the Health Care Financing Administration's (HCFA) implementation of a prospective payment system, efforts to protect patients from potential underprovision of care and to hold home health agencies (HHA) accountable are essential. Instituting the collection and reporting of Outcome and Assessment Information Set (OASIS) data is an important step in that direction. The use of OASIS data enhances consistency in the performance and documentation of patient assessments for home health services. As a result, information on patient outcomes will become available for the first time. Collecting such data is not without its costs. To varying degrees, the requirement to collect OASIS data on all home health patients increases the amount of staff time devoted to collecting and reporting patient assessment information. HHAs have been compensated for some of these costs through adjustments made to their payment rates. Moreover, because prospective payment system episode payment rates are based on historically high utilization levels, which have since declined, these rates should allow the completion of OASIS assessments. Protecting the privacy of home health care patients is also important. HCFA has made progress in this area by enhancing protections in the collection and transmission of the OASIS data. The effectiveness of these policies and procedures will depend on how well they are implemented.


Related Articles

  • CMS Proposes Increase in Medicare Home Health Payment Rates.  // PT: Magazine of Physical Therapy;Jul2004, Vol. 12 Issue 7, p8 

    Reports on the propose increase in Medicare payment rates to home health agencies by the U.S. Centers for Medicare and Medicaid Services for 2005. Revision of the home health market; Terms of the prospective payment system; Costs of goods and services.

  • CMS sees 2.2% update for home health.  // Medical Device Daily;8/3/2009, Vol. 13 Issue 147, p7 

    The article reports on a market basket update of 2.2% proposed by the U.S. Centers for Medicare & Medicaid Service (CMS) for home health services for calendar year 2010. It is also examining rules to cut down on fraud and abuse. The July 30, 2009 statement of CMS stated that the agency wanted to...

  • Medicare Interim Payment System's Impact on Medicare Home Health Utilization. Liu, Korbin; Long, Sharon K.; Dowling, Krista // Health Care Financing Review;Fall2003, Vol. 25 Issue 1, p81 

    The Medicare home health interim payment system (IPS) implemented in fiscal year 1998 provided very strong incentives for home health agencies (HHAs) to reduce the number of visits provided to each Medicare user and to avoid those beneficiaries whose Medicare plan of care was likely to exceed...

  • The home health visit: An appropriate unit for Medicare payment? Bishop, Christine E.; Brown, Randall S. // Health Affairs;Dec1996, Vol. 15 Issue 4, p145 

    Explores the use of fixed versus cost-based per visit payment as an interim payment method for medical care in the United States. Growth of Medicare payment per visit; Difference between the prospective payment and the cost for each visit; Demonstration of a fixed per visit payment method for...

  • Determinants of Medical Expenditures in the Last 6 Months of Life. Kelley, Amy S.; Ettner, Susan L.; Morrison, R. Sean; Qingling Du; Wenger, Neil S.; Sarkisian, Catherine A. // Annals of Internal Medicine;2/15/2011, Vol. 154 Issue 4, p235 

    Background: End-of-life medical expenditures exceed costs of care during other years, vary across regions, and are likely to be unsustainable. Identifying determinants of expenditure variation may reveal opportunities for reducing costs. Objective: To identify patient-level determinants of...

  • CHAPTER 12: Medicare. Matthews, Joseph // Social Security, Medicare & Government Pensions;Feb2014, p221 

    The article offers information regarding the Medicare system in the U.S., highlighting the country's medical care cost, Medicare coverage, and Medicaid. It outlines several factors in determining if an individual is qualified or eligible for the benefits as well as provides information about...

  • Home dialysis grows despite cost and logistical hurdles. Johnson, Steven Ross // Modern Healthcare;10/13/2014, Vol. 44 Issue 41, p23 

    The article offers information on increasing use of home dialysis by patients in the U.S. According to a study published in periodical "New England Journal of Medicine" in 2010, patients on home hemodialysis receiving more frequent dialysis have better health outcomes than those visiting an...

  • Caregiving preparation for faraway relatives.  // Hudson Valley Business Journal;Jun2003 Supplement, Vol. 14 Issue 11, p19 

    Presents several suggestions of caregiving preparation for faraway relatives. Knowledge about the parent's health history, medications, names of physicians and hospitals; Coverage of long-term care insurance; Availability of the financial resources to obtain home care or nursing home care. ...

  • Healthcare plan needs dose of common sense. Angell, Marcia // Massachusetts Nurse;Feb2007, Vol. 78 Issue 2, p2 

    The author reflects on the new plan for universal health care coverage in Massachusetts. She argues that private insurers are competing not by offering better health care but only to avoid high-risk individuals and shifting costs to other payers in a form of high deductibles and copayments. She...


Read the Article

Other Topics