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Misalignment between medicare policies and depression care in home health care
home health provider perspectives
Bao, Y., Eggman, A. A., Richardson, J., & Bruce, M. L. (2014). Misalignment between medicare policies and depression care in home health care: home health provider perspectives . Psychiatric Services, 65(7), 905-910. https://doi.org/10.1176/appi.ps.201300158
Semistructured interviews with nurses working for home health care agencies in five states raise serious questions about the deleterious effects of Medicare policies and procedures on depression care. The agencies have strong incentives to limit nursing time in a given payment episode and to increase volume, making it difficult to provide high-quality depression care for homebound patients. Some nurses felt forced to "abandon" many patients with depression. The authors call for incremental policy changes in several key areas