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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
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Han, Beth; McAuley, William J.; Remsburg, Robin E. – Gerontologist, 2007
Purpose: Little is known about whether an association exists between agency ownership and length of service among home care patients with different payment sources. This study investigated how for-profit and not-for-profit agencies responded to policy changes in the 1990s with respect to length of service. Design and Methods: We examined length of…
Descriptors: Home Programs, Health, Agencies, Ownership
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McAuley, William J.; Spector, William D.; Van Nostrand, Joan; Shaffer, Tom – Gerontologist, 2004
Purpose: This research examines the impact of rural-urban residence on formal home-care utilization among older people and determines whether and how Medicaid coverage influences the association between, rural-urban location and risk of formal home-care use. Design and Methods: We combined data from the 1998 consolidated file of the Medical…
Descriptors: Municipalities, Interaction, Counties, Child Health