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November 26, 2003

The 1997 Balanced Budget Act and Home Services Among Medicare Patients—Reply

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;290(20):2661. doi:10.1001/jama.290.20.2661-a

To the Editor: Dr Murkofsky and colleagues1 found that, after passage of the 1997 Balanced Budget Act (BBA), length of stay in home care decreased among Medicare patients, particularly among those receiving care from for-profit home health agencies (HHAs). The authors obtained data for their study from the National Home and Hospice Care Surveys (NHHCS). Several aspects of the NHHCS, however, may limit the authors' conclusions.

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