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Rural Health
Resources by Topic: Healthcare business and finance

Redesigning the Medicare Program: An Opportunity to Improve Rural Health Care Systems?
Presents a framework for use by those interested in the future of healthcare services in rural areas, to help to shape proposals to redesign the Medicare program. Identifies rural principles that should guide any Medicare redesign effort.
Author(s): Andrew F. Coburn, Charles W. Fluharty, J. Patrick Hart, et al.
Date: 08/2000
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Hospital Closure: 1998
Describes the extent, characteristics of, reasons for, and impact of hospital closures in 1998. Includes information specific to rural hospital closures. Lists closed hospitals by name, state, and rural/urban status.
Date: 07/2000
Sponsoring organization: Office of Inspector General (HHS)
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Checotah, Oklahoma, June 4-6, 2000
Minutes from a National Advisory Committee on Rural Health and Human Services meeting addressing the following topics: a Federal Office of Rural Health Policy update, the State Planning Grant Program, Medicare reform, health disparities, and the economic impact of the healthcare system.
Date: 06/2000
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Why Do Rural Primary-Care Physicians Sell Their Practices?
Evaluated why rural primary care physicians sold their practices, based on a survey in five states that looked at changes of ownership during the period from 1995 to 1998. Examined the factors that led independent physicians to sell their practices to either non-local buyers, local hospitals, or local physicians.
Author(s): Jeffrey Stensland, Michelle Brasure, Ira Moscovice
Date: 06/2000
Sponsoring organization: University of Minnesota Rural Health Research Center
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Calculating and Using the Area Wage Index of the Medicare Inpatient Hospital Prospective Payment System
Explains how the area wage index (AWI) was developed to adjust Medicare payments to hospitals based on average hospital wages in an area. Identifies the major unresolved issues related to its calculation and use in the year 2000.
Author(s): Anthony Wellever
Citation: RUPRI Rural Policy Brief, 5(5)
Date: 06/2000
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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A Report on Enrollment: Rural Medicare Beneficiaries in Medicare+Choice Plans
Reports on changes in Medicare+Choice enrollment from December 1996 to October 1999. Also identifies Medicare+Choice plans added in 1998-1999.
Author(s): Brandi Shay, Timothy McBride, Keith Mueller
Citation: RUPRI Rural Policy Brief, 5(1)
Date: 03/2000
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Washington DC, February 6-9, 2000
Minutes from a National Advisory Committee on Rural Health and Human Services meeting addressing the following topics: U.S. Department of Veteran Affairs and rural health, the Kaiser Commission on Medicaid and the Uninsured, public health and hospital capital, Indian Health Services contracting and compacting, and Medicare payment in rural areas.
Date: 02/2000
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Strategic Choices of Rural Health Networks: Implications for Goals and Performance Measurement
Reports findings from a 1996 study that sought to understand rural health networks by classifying them according to their functions and purposes. Examples of performance measures that might be used for the different network types are given.
Author(s): Anthony Wellever, Douglas Wholey, Tiffany Radcliff
Date: 01/2000
Sponsoring organization: University of Minnesota Rural Health Research Center
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The Effect of Market Reform on Rural Public Health Departments
Reports on how rural health departments and populations they serve were affected by healthcare system changes in the 1990s, particularly Medicaid managed care. Based on site visits to four rural public health departments in each of five states: Georgia, Missouri, North Carolina, Oregon, and Wisconsin.
Author(s): Rebecca Slifkin, Pam Silberman, Susan Reif
Date: 01/2000
Sponsoring organization: North Carolina Rural Health Research Program
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The Role of CAH Status in Mitigating the Effects of New Prospective Payment Systems Under Medicare
Described the considerations for rural hospitals in the early years of having Critical Access Hospital status as an option. Examined rural hospitals that potentially qualified to convert to Critical Access Hospitals at that time. Identified characteristics of facilities at substantial financial risk as a result of Medicare's expansion of prospective payment systems to non-acute settings.
Author(s): Kathleen Dalton, Rebecca T. Slifkin, Hilda A. Howard
Date: 01/2000
Sponsoring organization: North Carolina Rural Health Research Program
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