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Rural Health
Resources by Topic: Medicare

MedPAC Report to Congress: Aligning Incentives in Medicare, June 2010
Focuses on how incentives in the Medicare program can be leveraged to promote healthcare quality and efficient use of resources, both of which are key elements of a high-value healthcare delivery system. Includes chapters focused on graduate medical education financing and inpatient psychiatric care.
Additional links: Executive Summary
Date: 06/2010
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Alternatives to the Outpatient Prospective Payment System: Assessing the Impact on Rural Hospitals
Explores alternatives to Medicare's Outpatient Prospective Payment System and how these options would affect rural hospitals.
Author(s): Janet Pagan-Sutton, Claudia Schur, Katie Merrell
Date: 04/2010
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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The Effect of Medicare Part D Plan Switching and Formulary Changes on Sole Community Pharmacies and the Patients They Serve
Presents findings from a survey of sole community independent pharmacies owned by pharmacists. Focuses on the impact of the Medicare Part D program.
Author(s): Michelle Lampman, Andrea Radford, Anh Nguyen
Date: 03/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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MedPAC Report to the Congress: Medicare Payment Policy, 2010
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2010
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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February 2010: A Dramatic Shift Away from Private Fee-for-Service Plans in Rural Medicare Advantage Enrollment
Discusses the decline in private fee-for-service (PFFS) enrollment in rural areas and as a result, Medicare Advantage (MA) enrollment in those areas, excluding other prepaid plans, fell slightly in early 2010 for the first time in years.
Author(s): Leah Kemper, Timothy D. McBride, M. Katherine Stone, Keith Mueller
Date: 03/2010
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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December 2009: Rural Medicare Advantage Enrollment Grows 15% in 2009
Analyzes the growth of rural enrollment in Medicare Advantage (MA) and other prepaid plans from December 2008 to December 2009. Discusses future changes in MA rural enrollment due to a decline in private fee-for-service (PFFS) plan availability starting in 2010.
Author(s): Leah Kemper, Timothy D. McBride, Keith Mueller
Date: 01/2010
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The Potential Impact of Pay-for-Performance on the Financial Health of Critical Access Hospitals
Models the impact of different Medicare pay-for-performance (P4P) incentives on the financial health of Critical Access Hospitals (CAHs) using quality performance measures for pneumonia and heart failure from several data sources.
Additional links: Policy Brief, February 2010
Author(s): Robert Town, Ira Moscovice
Date: 12/2009
Type: Document
Sponsoring organization: Flex Monitoring Team
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Rural Primary Care Physician Payment 2006–2009: What a Difference Three Years Doesn't Make
Describes the impact of Medicare's Evaluation and Management physician services valuation adjustment, implemented January 1, 2007, on a typical rural primary care practice.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Mary Charlton
Date: 11/2009
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Workforce Challenges in Delivering Health Care to Elderly and Low-Income Populations in Wyoming: Medical Providers' Acceptance of Medicaid and Medicare Patients
Examines medical professionals in urban and rural Wyoming providing care to Medicaid and Medicare enrollees, and factors associated with provider acceptance of new patients. Includes policy considerations to inform state-level policy and program implementation for low-income and elderly populations.
Author(s): Davis G. Patterson, Susan M. Skillman, C. Holly A. Andrilla, Mark P. Doescher
Date: 09/2009
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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July 2009: Rural Enrollment in Medicare Advantage Continues to Grow
Describes how enrollment in Medicare Advantage (MA) has grown in rural areas over time. Includes data on the distribution of rural enrollment in MA and other prepaid plans for December 2005, June 2007, and July 2009.
Author(s): Leah Kemper, Timothy D. McBride, Keith Mueller
Date: 08/2009
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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