Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 5 , Pages 807-814 , May 2008

Did the 1997 Balanced Budget Act Reduce Use of Physical and Occupational Therapy Services?

Presented in part to the American Congress of Rehabilitation Annual Meeting, September 28, 2006, Boston, MA; and the American Physical Therapy Association, February 17, 2007, Boston, MA.

  • Nancy K. Latham, PhD, PT

      Affiliations

    • Health and Disability Research Institute, School of Public Health, Boston University, Boston, MA
    • Corresponding Author InformationReprint requests to Nancy K. Latham, PhD, PT, Health and Disability Research Institute, School of Public Health, Boston University Medical Campus, 2nd Fl, 580 Harrison Ave, Boston, MA 02118-2639
    • ,
  • Alan M. Jette, PhD, PT

      Affiliations

    • Health and Disability Research Institute, School of Public Health, Boston University, Boston, MA
    • ,
  • Long H. Ngo, PhD

      Affiliations

    • Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA
    • ,
  • Jane Soukup, MS

      Affiliations

    • Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA
    • ,
  • Lisa I. Iezzoni, MD, MS

      Affiliations

    • Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA
    • Institute for Health Policy, Massachusetts General Hospital, Boston, MA
    • Harvard Medical School, Boston, MA.

References 

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  3. Medicare Payment Advisory Commission. Toward better value in purchasing outpatient therapy services (Report to the Congress: increasing the value of Medicare). Washington (DC): MedPAC; 2006;
  4. McCall N, Korb J, Petersons A, Moore S. Reforming Medicare payment: early effects of the 1997 Balanced Budget Act on postacute care. Milbank Q. 2003;81(2):277–303
  5. Medicare Payment Advisory Commission. Report to the Congress: variation and innovation in Medicare. Washington (DC): MedPAC; 2003;Jun. ch 5
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  22. Hutt E, Ecord M, Eilersten TB, Frederickson E, Cahill Kowalsky J, Kramer AM. Prospective payment for nursing homes increased therapy provision without improving community discharge rates. J Am Geriatr Soc. 2001;49:1071–1079
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  34. Andres PL, Haley SM, Ni PS. Is patient-reported function reliable for monitoring post-acute outcomes?. Am J Phys Med Rehabil. 2003;82:614–621

 Supported by the National Institutes of Health (grant no. HD043913-01).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(08)00132-9

doi: 10.1016/j.apmr.2008.02.010

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 5 , Pages 807-814 , May 2008

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