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Home-Health-Care Providers-Reply
Joanne G. Schwartzberg, MD
Department of Geriatric Health American Medical Association Chicago, Ill
Arch Fam Med. 1993;2(11):1115-1116.
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In reply
The problem presented by Dr Cannon is a very real and serious one that has been of continuing concern to the American Medical Association. In 1990, the American Medical Association conducted telephone interviews with over 1100 primary care physicians in a national survey of physician attitudes toward and experiences with home care.1
The survey collected the first hard data on physician home care practice, the time spent on telephone case management of home care patients and on paperwork, the poor reimbursement for house calls, and the many other problems that are increasing with the growth of the frail, homebound, elderly population. The information was presented to the Health Care Financing Administration and incorporated in the adjustments to the physician fee schedule so that there has been a 20% increase in the reimbursement rate for home visits from 1991 to 1993 (Table).
At the present time, the Health Care Financing
. . . [Full Text PDF of this Article]
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