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Rural Health
Resources by Topic: Long-term care

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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Closures of Hospital-Based SNF Units: Insights from Interviews with Administrators, Discharge Planners and Referring Physicians
Reports on interviews with officials at fifteen acute care hospitals with Medicare skilled nursing facilities (SNFs) in 1998, some of which were still open and some of which had closed. Addresses the reasons, and consequences, of hospitals' decisions to close SNF units. The study included hospitals in urban and rural areas.
Author(s): Korbin Liu, Emily Jones, Urban Institute
Date: 03/2007
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Long-Term Care: Consumers, Providers, Payers, and Programs
Discusses selected characteristics of long-term care consumers and providers and describes payers and selected programs that finance long-term care services.
Author(s): Carol O'Shaughnessy, Julie Stone, Thomas Gabe, Laura B. Shrestha
Date: 03/2007
Type: Document
Sponsoring organization: Congressional Research Service
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Rural-Urban Issues in the Wage Index Adjustment for Prospective Payment in Skilled Nursing Facilities
Discusses the use of the hospital wage index for the skilled nursing facility prospective payment system (SNF PPS) and how a change to an SNF wage index would impact rural and urban skilled nursing facilities. Also identifies some related issues that impact reimbursement to SNFs in both urban and rural areas.
Additional links: Findings Brief, January 2004
Author(s): Kathleen Dalton, Rebecca Slifkin
Date: 11/2003
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural-Urban Differences In Nursing Home And Skilled Nursing Supply
Findings brief of statistics on urban and rural nursing facilities. Includes maps showing county-level nursing home bed-to-population ratios.
Author(s): Kathleen Dalton, Rebecca Slifkin, Joan Walsh
Date: 02/2003
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Analysis of the Financial Conditions of Health Care Institutions in the Appalachian Region and their Economic Impacts
Describes the availability of healthcare services in Appalachia, the financial stability of Appalachian healthcare institutions, and the effect of hospital closures on Appalachian counties.
Author(s): Jeffrey Stensland, Curt Mueller, Janet Sutton
Date: 12/2002
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Rural Populations and Health Care Providers: A Map Book
A collection of maps showing the geographic distribution of rural populations and the healthcare providers that serve them.
Author(s): Randy K. Randolph, Katherine Gaul, Rebecca T. Slifkin
Date: 2002
Type: Map/Mapping System
Sponsoring organization: North Carolina Rural Health Research Program
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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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Developing Affordable Non-medical Residential Care in Rural Communities: Barriers and Opportunities
Explores the challenges and opportunities for affordable non-medical residential care (NMRC) development in rural areas. NMRC is residential housing with service options for long-term care consumers, excluding nursing homes and skilled nursing facilities.
Author(s): Elise J. Bolda, Kimberly Mooney Murry, Stephanie Flanary, John W. Seavey
Date: 09/2001
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Admission Severity and Mortality Rates Among Rural and Urban Nursing Facility Residents with Dementia
Assesses whether the potentially higher utilization of nursing facility services in rural communities can be attributed to differences in use patterns by older adults with dementia. Specifically, addresses the question of whether rural nursing facility residents with dementia are less impaired at the time of their admission to a nursing facility than urban residents with dementia.
Additional links: Research and Policy Brief, September 2001
Author(s): Elise J. Bolda, Kimberly Mooney Murray
Date: 03/2001
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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