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Rural Health
Resources by Topic: Hospitals

Rural Hospital Wages and the Area Wage Index: 1990-1997
Examines whether incremental changes to the hospital wage index from 1990-1997 made it more equitable across regions and how these changes impacted rural hospitals.
Additional links: Findings Brief, January 2001
Author(s): Kathleen Dalton, Rebecca Slifkin, Hilda Howard
Date: 11/2000
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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The Financial Viability of Rural Hospitals in a Post-BBA Environment
Evaluated the financial viability of rural hospitals under the Balanced Budget Act of 1997 (BBA) and the Balanced Budget Refinement Act of 1999 (BBRA) Medicare payment policies. Estimated the number of hospitals that would become Critical Access Hospitals (CAHs) and estimated the number of beds at each hospital.
Author(s): Jeffrey Stensland, Ira Moscovice, Jon Christianson
Date: 10/2000
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Impact of the Balanced Budget Act of 1997 and the Balanced Budget Refinement Act of 1999 on Rural Hospitals
Highlights the impact of the Balanced Budget Act of 1997 (BBA) and Medicare Balanced Budget Refinement Act of 1999 (BBRA) on rural hospitals. Detailed statistics on Medicare payments and margins before and after the BBA and BBRA, with projections into the future.
Author(s): Lewin Group
Date: 08/2000
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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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
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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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
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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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
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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The Oklahoma Rural Health Care Plan 2000
Provides a framework for the improvement of health for rural populations in Oklahoma with a focus on the development and implementation of the Medicare Rural Hospital Flexibility Program.
Date: 2000
Type: Document
Sponsoring organization: Oklahoma Office of Rural Health
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Hospital Closure: 1997
Describes the extent, characteristics of, reasons for, and impact of hospital closures in 1997. Includes information specific to rural hospital closures. Lists closed hospitals by name, state, and rural/urban status.
Date: 01/1999
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Hospital Closure: 1996
Describes the extent, characteristics of, reasons for, and impact of hospital closures in 1996. Includes information specific to rural hospital closures. Lists closed hospitals by name, state, and rural/urban status.
Date: 02/1998
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Public Law 105-33: Balanced Budget Act of 1997
Includes the entire text of Public Law 105-33, commonly known as the Balanced Budget Act of 1997. The legislation created the Critical Access Hospital designation and outlines details of the program, including eligibility and operational regulations.
Date: 08/1997
Type: Document
Sponsoring organization: U.S. Congress
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