Sources: MedPAC March 2015; MedPAC June 2015 and 2016.
Sources: Medicare & Medicaid Research Review, 2013 Statistical Supplement and CMS/OIS/HCIS, Data from the Standard Analytical Files. Table 8.1; MedPAC June 2015. Table 12-3; MedPAC March 2017.
|Sources: MedPAC Report to the Congress: Medicare Payment Policy, March 2014, 2016, and 2017, and MedPAC June 2014 and June 2015 Data Book.|
|All Freestanding HHAs||15.6%|
estimates the marginal profit of HHAs to be 18.1 percent in 2015, higher than the overall Medicare margin.Sources: MedPAC Report to the Congress: Medicare Payment Policy, March 2014, 2016, and 2017 and MedPAC June 2014 and June 2015 Data Book.
|Source: MedPAC Report to the Congress: Medicare Payment Policy. March 2016.|
In 2014, the average hospice Medicare margin was 8.2%. Freestanding hospices had higher margins (11.5%), while home health based hospices averaged 3.8% and hospital-based -20.3%.
Source: MedPAC Report to the Congress: Medicare Payment Policy March 2017.
|Diagnosis||2015 LOS (in days)|
|Main location of care||2015 LOS (in days)|
|Assisted living facility||152|
|Home Heath users (millions)||3.0||3.4||3.5|
|Per Home Health user||1.8||1.9||1.9|
|Per Home Health user||$4,606||$5,156||$5,225|
The average episode per home health user has decreased from 2.0 in 2010 to 1.9 in 2015. Payment per home health user decreased in the same period from $5,679 to $5,225. Source: MedPAC March 2015, 2016, and 2017; MedPAC December 2015 meeting presentation: Assessing payment adequacy and updating payments: home health care services.
|Type of Visit||Visits per Episode (2015)|
|Home Health Aide||2.0|
|Medical Social Services||0.1|
Source: MedPAC Data Book 2016
Source: Medicare Trustees Report 2015: Medicare Enrollment by Part and in Total. Actual data through 2014.
Source: Fazzi analysis of Medicare 2015 home health claims.