Congressional Research Service The Library of CongressCRS Report for CongressReceived through the CRS WebOrder Code RL30300Medicare Beneficiary Access to Care: The Effectsof New Prospective Payment Systems onOutpatient Hospital Care, Home Health Care, andSkilled Nursing Facility CareUpdated February 2, 2000Carolyn L. MerckSpecialist in Social LegislationDomestic Social Policy Division