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Rural Health
Resources by Topic: Healthcare business and finance

Exploring the Impact of Medicare's Post-Acute Care Transfer Payment Policy on Rural Hospitals
Describes a change in Medicare post-acute transfer payment policy and its impact on rural and urban hospitals. Includes data on the financial impact and hospital discharge behavior before and after the change.
Author(s): Julie A. Schoenman
Date: 07/2004
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Rural Implications of Medicare's Post-Acute Care Transfer Payment Policy
Reports results of a study that examines the behavioral and financial impacts of a change in Medicare payment to pay acute-care hospital cases in 10 DRGs as transfers instead of discharges when the patient is discharged to a targeted post-acute care (PAC) provider after a short inpatient stay. Also projects the likely financial impact of extending the policy to cover additional DRGs or discharges to swing beds.
Author(s): Julie A. Schoenman
Date: 06/2004
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Metropolitan Statistical Areas: New Standards and Their Impact on Selected Federal Programs
Describes the Office of Management and Budget's revised standards for defining metropolitan areas, and the impact these changes will have on federally funded programs that use the OMB's definition to determine program eligibility. The programs addressed are the Community Development Block Grant program, Locality Pay Program for General Schedule Employees, Medicare Hospital Reimbursement System and Ryan White CARE Act Program.
Additional links: Full Report
Date: 06/2004
Sponsoring organization: Government Accountability Office
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Delta States Initiative Report
Provides a summary of FORHP's Delta States Initiative and details activities conducted by the Delta States Rural Development Network Grant Program and the Delta Rural Hospital Performance Improvement Project.
Date: 05/2004
Sponsoring organization: Federal Office of Rural Health Policy
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MedPAC Report to the Congress: Medicare Payment Policy, 2004
Annual review of Medicare payment policies, with recommendations to Congress. Discussion of rural aspects of Medicare payment policies are included throughout the report. Includes discussion of the growth of Medicare spending and quality of care Medicare recipients receive.
Date: 03/2004
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Health Research in Progress in the Rural Health Research Centers Program, 8th Edition
Describes the research and policy analysis projects underway in the Rural Health Research Centers Program of the Federal Office of Rural Health Policy (FORHP). Projects are arranged by topic, with indexes by funding source, center, and project title.
Date: 02/2004
Sponsoring organization: Federal Office of Rural Health Policy
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Medicare Home Health: Payments to Freestanding Home Health Agencies More Than Covered Their Costs
Discusses an evaluation of Medicare payments to freestanding home health agencies (HHAs). Includes comparison of Medicare margins for urban and rural HHAs.
Additional links: Full Report
Date: 02/2004
Sponsoring organization: Government Accountability Office
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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
Sponsoring organization: University of Minnesota Rural Health Research Center
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Health, United States, 2004: With Chartbook on Trends in the Health of Americans with Special Feature on Drugs
Presents an annual overview of national trends in health statistics. Covers health status and determinants, healthcare utilization, access, and expenditures. Includes data on rural areas - see index under "metropolitan/nonmetropolitan data." 2004 edition includes a feature on prescription and nonprescription drug use.
Date: 2004
Sponsoring organization: National Center for Health Statistics
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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
Sponsoring organization: Federal Office of Rural Health Policy
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