Which of the following created the original expansion of home health care agencies? (Select all that apply.)
a. Changes that decreased reimbursement for hospital-based care
b. Cost containment in a managed care environment
c. Meeting clients' preference for care in their homes, not institutions
d. Offering new career opportunities for nurses who are tired of hospital nursing
e. The requirement of third-party payers for care to be given in homes
f.
So they could serve as a profitable revenue source
ANS: A, B, C, F
Numerous factors generated the growth of home health services, including the increasing costs of hospital care and the subsequent introduction of the prospective payment system. Providing home care services contributes to cost containment in a managed care environment. This cost containment is accomplished through timely hospital discharges by providing nursing services in the home setting and supporting clients at home rather than in skilled facilities. Home care is also popular with consumers, who prefer to receive care in their own homes rather than in an institution. The increasing number of home health agencies indicates that these agencies are profitable endeavors and provide hospitals with an additional revenue source.
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