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Rural Health
Resources by Topic: Healthcare business and finance

A Primer on the Occupational Mix Adjustment to the Medicare Hospital Wage Index
Focuses on the occupational mix adjustment (OMA) to the labor-related share in the hospital inpatient prospective payment system. Explains what the OMA is, why it is needed, and how it has been calculated. Discusses reasons the effect of the OMA has been less than some rural advocates anticipated.
Author(s): Kristin Reiter, Rebecca Slifkin, Mark Holmes
Date: 09/2006
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Quality and Performance Improvement Grant Activities Under the Flex Program
Describes quality and performance improvement activities proposed by states during the 2005 grant year under the Medicare Rural Health Flexibility Program (Flex Program).
Date: 08/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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Medicare Physician Payments: Trends in Service Utilization, Spending, and Fees Prompt Consideration of Alternative Payment Approaches
Statement discussing the sustainable growth rate (SGR) system, which Medicare uses to determine annual changes to physician fees. Includes some rural-specific information.
Additional links: Full Report
Author(s): A. Bruce Steinwald
Date: 07/2006
Type: Document
Sponsoring organization: Government Accountability Office
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Camden, Maine, June 11-13, 2006
Minutes from a meeting of the National Advisory Committee on Rural Health and Human Services covering the following topics: substance abuse, Medicare Advantage, and Head Start in rural areas.
Date: 06/2006
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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MedPAC Report to the Congress: Increasing the Value of Medicare
Examines issues affecting the Medicare program and makes recommendations to the Congress. Topics covered include care coordination, pricing accuracy in the hospice and physician payment systems, quality measures in home health, gathering data on outpatient therapy, Medicare Advantage, the Part D prescription drug program, and cost-effectiveness analysis.
Date: 06/2006
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comparison of the Rural Health Clinic and Federally Qualified Health Center Programs
Provides a general comparison of the financial components of the Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) programs under Medicare and Medicaid.
Date: 06/2006
Type: Document
Sponsoring organization: Health Resources and Services Administration
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General Hospitals: Operational and Clinical Changes Largely Unaffected by Presence of Competing Specialty Hospitals
Provides information on the competitive response of general hospitals to specialty hospitals. Addresses rural general hospitals response compared to urban general hospitals.
Additional links: Full Report
Date: 05/2006
Type: Document
Sponsoring organization: Government Accountability Office
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Medicaid and Its Importance to Rural Health
Presents an overview of the impact that Medicaid has on rural health. Covers the role of Medicaid in rural areas as a source of health insurance, as a revenue source for rural providers, and as a contributor to the community by supporting its health care system and local economy.
Author(s): Keith J. Mueller, Andrew F. Coburn, A. Clinton MacKinney, et al.
Date: 05/2006
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Rural Dental Practice: A Tale of Four States
Reports the findings of a study investigating rural dentist issues, such as: demography, training, practice characteristics, staff, and job satisfaction in Alabama, California, Maine, and Missouri.
Additional links: Project Summary
Author(s): C. Holly A. Andrilla, Denise M. Lishner, L. Gary Hart
Date: 03/2006
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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A Review of State Flex Program Plans, 2004-2005
Examines the objectives and project activities proposed by states in their Medicare Rural Hospital Flexibility Program (Flex Program) grant applications for Fiscal Year 2004 to strengthen the rural healthcare infrastructure in their states.
Author(s): Stephenie Loux, John Gale, Anush Yousefian, Andrew Coburn, Walter Gregg
Date: 03/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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