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Home Health and Hospice [Student’s Name] [Institutional Affiliation] Home Health and Hospice Home health and hospice care refers to extensive range of needed nursing, medical, therapeutic, supportive, and social care services delivered at home and in the community to people from infancy to old stage and at all stages of life between birth and death.
Medicare is composed of three parts; Part A, Part B, and most recently part D. Part A and B were the initial divisions of the Medicare Program. Part A covers the health care received in hospice and health care without monthly premiums. It is the insurance portion of Medicare. Part B covers doctors’ services as well as other outpatient care absent in part A with an added monthly premium, which in 2008 cost about $96.40 every month (Shi & Singh, 2010). Changes in payment permitted people to make hospice services payment on a prospective basis under four care levels and adjusted by the wage index in an area. The local adjustment was important because it allowed low rates in regions with low wage levels and high rates in regions with high wage levels. This was followed by a new wage index, which comprised of a mix of both new and old wage indexes however; the new index was still based on hospital wage data. The Medicare hospice rates also varied according to the level of care that a beneficiary received. Initially, the payment system by Medicare was linked to the “Balanced Budget Act of 1997 (BBA)”, and it had a huge influence on the number of home health as well as hospice care agencies. ...
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