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Rural Health
Resources by Topic: Healthcare business and finance

MedPAC Report to the Congress: Reforming the Delivery System
Describes a direction for Medicare payment and delivery system reform, makes recommendations to promote primary care, and examines hospital–physician collaborative relationships. Includes rural/urban data related to skilled nursing facilities and hospice.
Date: 06/2008
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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The 2008 Report to the Secretary: Rural Health and Human Services Issues
Report to the Secretary of the U.S. Department of Health and Human Services. Includes a 20 year retrospective on rural health and human services.
Date: 04/2008
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Critical Access Hospitals' Experiences with Medicare Advantage Plans
Examines findings from a survey of 60 Critical Access Hospital (CAH) administrators about their experiences with Medicare Advantage (MA) plans. Discussion topics include CAH interactions and MA, reimbursement terms, financial performance, revenue, and relationship with beneficiaries.
Author(s): Michael Meit, Keith Mueller
Date: 03/2008
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, RUPRI Center for Rural Health Policy Analysis
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Differences in Measurement of Operating Margin
Considers how differences in measurement of operating margin for hospitals can affect the reported values.
Author(s): George Pink, Ann Howard, George Mark Holmes, Roger Thompson, Rebecca Slifkin
Date: 03/2008
Type: Document
Sponsoring organization: Flex Monitoring Team
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MedPAC Report to the Congress: Medicare Payment Policy, 2008
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2008
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Review of the Relationship between Medicare Part D Payments to Local, Community Pharmacies and the Pharmacies' Drug Acquisition Costs
Analyzes the relationship between Medicare Part D payments, excluding dispensing fees, to local, community pharmacies and the pharmacies' drug acquisition costs. Estimate Part D dispensing fees and compares them with Medicaid dispensing fees. Includes some data specific to rural pharmacies.
Date: 01/2008
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Health, United States, 2007: With Chartbook on Trends in the Health of Americans
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." 2007 edition includes a special feature on access to care.
Date: 11/2007
Type: Document
Sponsoring organization: National Center for Health Statistics
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Medicare Program: Changes to the Hospital Outpatient Prospective Payment System, Ambulatory Surgical Center System, Graduate Medical Education and Critical Access Hospital; Interim and Final Rule with Comment Period
Addresses changes to the Hospital Outpatient Prospective Payment System (OPPS) and CY 2008 Payment Rates, the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates, the Hospital Inpatient Prospective Payment System (IPPS) and FY 2008 Payment Rates. Describes changes relating to the necessary provider designations of Critical Access Hospitals (CAHs) and to the conditions of participation requirements. Also addresses changes to graduate medical education (GME) payments made to teaching hospitals that have Medicare affiliation agreements for certain emergency situations.
Citation: Federal Register, 72(227), 66579-67226
Date: 11/2007
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Insurance Coverage and Access to Health Care for American Indian and Alaska Native Elders
Reports findings from a study assessing health insurance coverage and access to health care among American Indian and Alaska Native elders (Native elders), using data from a national survey that included more than 8,300 Native elders.
Date: 10/2007
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Medicare Advantage Plans in Rural America
Identifies key policy issues and questions concerning the impact of Medicare Advantage (MA) in rural areas.
Author(s): Andrew F. Coburn, A. Clinton MacKinney, Timothy D. McBride, et al.
Date: 10/2007
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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