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Rural Health
Resources by Topic: Home health

Performance of Rural and Urban Home Health Agencies in Improving Patient Outcomes: Final Report
Describes the results of a study to determine whether rural and urban home care agencies differ in terms of patient care outcomes, and to ascertain whether there are agency characteristics that are associated with better or worse outcomes.
Author(s): Janet P. Sutton
Date: 05/2006
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Utilization of Home Health Services Among Rural Medicare Beneficiaries Before and After the PPS: Final Report
Describes the results of a study on the rural effects of the Medicare prospective payment system (PPS), including whether the PPS contributed to changes in the demographic and clinical characteristics of home care users; the likelihood of using each of six home care disciplines; and the intensity of services.
Author(s): Janet P. Sutton
Date: 08/2005
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Patterns Of Post-Acute Utilization In Rural and Urban Communities: Home Health, Skilled Nursing, and Inpatient Medical Rehabilitation
Describes rural Medicare beneficiaries' patterns of post-acute utilization of home health services, skilled nursing facilities, and inpatient rehabilitation facilities. Provides baseline data that policymakers, researchers, and others who are interested in rural healthcare issues may use to monitor how changes in Medicare policies affect access to post-acute care in rural areas.
Author(s): Janet P. Sutton
Date: 03/2005
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Home Health Payment Reform: Trends in the Supply of Rural Agencies and Availability of Home-Based Skilled Services
Reports on changes in the supply of home health agencies in rural and urban areas before and after the Balanced Budget Act (BBA) of 1997, which changed reimbursement for home health. Also looks at provision of physical therapy, occupational therapy, speech therapy, and medical social work by rural and urban home health agencies.
Author(s): Janet P. Sutton
Date: 03/2005
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Scope of Services Offered by Critical Access Hospitals: Results of the 2004 National CAH Survey
Examines how Critical Access Hospital (CAH) services have changed over time, based on 2000, 2002, and 2004 survey data. Discusses the role of network affiliations in service changes and reasons for reported service expansions.
Author(s): David Hartley, Stephenie Loux
Date: 03/2005
Type: Document
Sponsoring organization: Flex Monitoring Team
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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
Type: Document
Sponsoring organization: Government Accountability Office
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Medicare Home Health Care in Rural America
Describes the results of a study evaluating the degree to which Medicare beneficiaries received home health care from agencies outside of their county and the extent to which urban agencies served rural beneficiaries.
Author(s): Sheila J. Franco
Date: 01/2004
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Rural Hospitals' Ability to Finance Inpatient, Skilled Nursing and Home Health Care
Reports on how rural hospitals restructured their operations in response to the Balanced Budget Act of 1997 (BBA), which reduced Medicare payments for inpatient, outpatient, skilled nursing care, and home health care. Discusses Critical Access Hospitals.
Author(s): Jeffrey Stensland, Ira Moscovice
Date: 10/2001
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Hazard, Kentucky, September 10-12, 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, Medicare reform, and home health care.
Date: 09/2000
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Medicare Learning Network: Medicare Payment Systems
Provides general information about Medicare payment systems, including the Acute Care Inpatient Prospective Payment System (IPPS), Hospice Payment System, Ambulatory Surgical Center Payment System, Hospital Outpatient Prospective Payment System (OPPS), Inpatient Psychiatric Facility Prospective Payment System (IPF PPS), Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS), and Long-Term Care Hospital Prospective Payment System (LTCH PPS). Includes links to additional resources for each provider type.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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