TY  - CHAP
M1  - Book, Section
TI  - Foreword
A1  - Marrelli, Tina M.
Y1  - 2017
N1  - 
T2  - Home Care Nursing: Surviving in an Ever-Changing Care Environment
AB  - The  1980s  were  a  time  of  great  upheaval  in  home  care,  when  agencies  were  being  subjected  to  intense  scrutiny  that  arose  from  the  growing  awareness  of  the  need  to  protect  the  elderly,  concerns  about  higher  Medicare  expenditures,  and  the  rapid  growth  in  the  number  of  home  health  agencies  in  the  United  States.  In  response  to  these  trends,  Congress  commissioned  a  study  titled  the  “Black  Box  of  Home  Care  Quality”  in  an  effort  to  assess  the  state  of  affairs  and  develop  recommendations  to  address  the  identified  problems.  The  findings  of  this  study  resulted  in  reproach  of  home  care  providers  and  those  responsible  for  their  oversight.  At  the  same  time,  many  home  health  agencies  found  themselves  in  financial  distress  because  Medicare  contractors  retroactively  denied  payment  for  large  numbers  of  claims  for  services  that  had  been  appropriately  delivered.  This  phenomena  was  known  as  the  “denial  crisis  of  the  1980s.”  It  was  during  that  time  of  confusion  and  consternation  that  I  first  met  Tina  Marrelli.  We  were  colleagues,  both  working  for  home  health  agencies  and  serving  together  on  the  board  of  directors  for  the  Maryland  Association  for  Home  Care.  
SN  - 
PB  - Sigma Theta Tau International
CY  - New York, NY
Y2  - 2024/04/18
UR  - apn.mhmedical.com/content.aspx?aid=1189297200
ER  -