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Rural Health
Resources by Topic: Critical Access Hospitals

The Financial Benefits of Critical Access Hospital Conversion for FY 1999 and FY 2000 Converters
Discusses the impact of conversion to Critical Access Hospital (CAH) status on the financial condition of rural hospitals one and two years after conversion. CAHs' pre- and post-conversion revenues are compared, and CAH revenues are compared to small rural hospitals that did not convert to cost-based Medicare reimbursement.
Author(s): Jeffrey Stensland, Gestur Davidson, Ira Moscovice
Date: 01/2004
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (P.L. 108-173): A Summary of Provisions Important to Rural Health Care Delivery
Overview of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (P.L. 108-173) as it relates to rural healthcare. Includes information on how this Act impacts beneficiaries, healthcare access, and payments to rural healthcare providers.
Author(s): Keith J. Mueller
Date: 01/2004
Type: Document
Sponsoring organizations: RUPRI Center for Rural Health Policy Analysis, Rural Policy Research Institute
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Modeling the Frontier Extended Stay Clinic Conditions of Participation and Reimbursement Methodologies
Discusses the financial feasibility of the Frontier Extended Stay Clinic (FESC), a proposed provider type to expand services in remote and isolated primary care clinics. Compares Medicare reimbursement for FESC status with Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC), and Critical Access Hospital (CAH) reimbursement. Includes detailed examples of financial impact for seven clinics in rural Alaska, Nevada, Washington, and Wyoming.
Date: 2004
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Text of the legislation that adds a prescription drug benefit to Medicare and enhances some rural healthcare programs, such as the Critical Access Hospitals program.
Date: 11/2003
Type: Document
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Medicare: Modest Eligibility Expansion for Critical Access Hospital Program Should Be Considered
Examines the Critical Access Hospital (CAH) program and makes recommendations on CAH eligibility related to the ban on inpatient psychiatric or rehabilitation distinct part units and the limit on patient census.
Additional links: Full Report
Date: 09/2003
Type: Document
Sponsoring organization: Government Accountability Office
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The Financial Effects of Critical Access Hospital Conversion
Describes how the first wave of conversions to Critical Access Hospital (CAH) status affected rural hospitals' financial performance and organizational structure.
Author(s): Jeffrey Stensland, Gestur Davidson, Ira Moscovice
Date: 01/2003
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Location of Frontier CAHs, Certified through January 1, 2003
Shows Critical Access Hospitals (CAHs) located in counties with fewer than seven people per square mile.
Date: 2003
Type: Map/Mapping System
Sponsoring organization: North Carolina Rural Health Research Program
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Hospitals That Have Not Yet Converted: Is CAH Still an Option?
Identifies reasons for hospitals not to have converted to Critical Access Hospital (CAH) status. Lists questions that could be used to help understand why a hospital has not converted and discusses related issues, with the goal of helping State Flex Program managers provide needed assistance related to CAH conversion.
Date: 10/2002
Type: Document
Sponsoring organization: Technical Assistance and Services Center
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A Targeted Look at the Rural Health Care Safety Net
Report to the Secretary of the U.S. Department of Health and Human Services. Discusses the safety net, the web of professionals and institutions that provide care to the poor and uninsured regardless of ability of pay. Also covers key safety net programs under the purview of the Secretary of Health and Human Services. Its findings fall into three categories: ensuring access to hospital services, ensuring access to primary care, and maintaining an adequate workforce.
Date: 04/2002
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Populations and Health Care Providers: A Map Book
A collection of maps showing the geographic distribution of rural populations and the healthcare providers that serve them.
Author(s): Randy K. Randolph, Katherine Gaul, Rebecca T. Slifkin
Date: 2002
Type: Map/Mapping System
Sponsoring organization: North Carolina Rural Health Research Program
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