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Rural Health
Resources by Topic: Medicare

Serving Rural Medicare Beneficiaries
Chapter five of MedPAC's Report to Congress: Medicare and the Health Care Delivery System. Covers rural Medicare beneficiaries, access to health services, rural vs urban coverage of care, health care quality in rural areas, and rural payment adjustments.
Date: 06/2012
Sponsoring organization: Medicare Payment Advisory Commission
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Anticipating the Rural Impact of Medicare Value-Based Purchasing
Describes the design and implementation of Medicare value-based purchasing (VBP) programs. Addresses the potential impact of these programs on rural healthcare providers. Includes discussion on the five provider types: Prospective Payment system (PPS) hospitals, Critical Access Hospitals (CAHs), Skilled Nursing Facilities (SNFs), home health agencies, and physician office practices.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Nicholas P. Lillios, et al.
Date: 04/2012
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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MedPAC Report to the Congress: Medicare Payment Policy, 2012
Reviews Medicare payment policies and covers policy recommendations to Congress. Discusses rural aspects of Medicare payment policies.
Date: 03/2012
Sponsoring organization: Medicare Payment Advisory Commission
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Geographic Adjustment in Medicare Payment Phase I: Improving Accuracy, Second Edition
Report brief that expands on recommendations made in an earlier report for improving how the Medicare program calculates geographic practice cost indexes that result in payments to hospitals, physicians, and other clinical practitioners based on their geographic locations.
Additional links: Read Online
Date: 2012
Sponsoring organization: Institute of Medicine
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Physician Value-Based Payment Modifier Program
Discusses provisions from the Patient Protection and Affordable Care Act including the Physician Payment Modifier (VBM) program, which provides differential payment to physicians or physician groups based on the quality of care provided compared to the cost of providing care.
Date: 12/2011
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Medicare Copayments for Critical Access Hospital Outpatient Services - 2009 Update
Discusses the impact of Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals.
Author(s): Sara Freeman, Kathleen Dalton
Date: 12/2011
Sponsoring organization: Medicare Payment Advisory Commission
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Effect of Swing Bed Use on Medicare Average Daily Cost and Reimbursement in Critical Access Hospitals
Estimates the average net cost to Medicare of a skilled nursing facility swing day by simulating the elimination of all Medicare skilled nursing facility swing bed days in Critical Access Hospitals in 2009.
Author(s): Kristin L. Reiter, George M. Holmes, George H. Pink, Victoria A. Freeman
Date: 12/2011
Sponsoring organization: North Carolina Rural Health Research Program
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Will Bundling Work in Rural America? Analysis of the Feasibility and Consequences of Bundled Payments for Rural Health Providers and Patients
Assesses how bundled payments may affect both healthcare quality and access among rural providers, and explains the financial and operational challenges associated with implementing bundled payments in low-volume providers such as Critical Access Hospitals (CAHs).
Author(s): Robert Town, Walter Gregg, Ira Moscovice, Shailendra Prasad, Jill Klingner
Date: 09/2011
Sponsoring organization: Upper Midwest Rural Health Research Center
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MedPAC Report to the Congress: Medicare Payment Policy, 2011
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included in the report.
Date: 03/2011
Sponsoring organization: Medicare Payment Advisory Commission
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Home Health Study Report: Literature Review
Presents a literature search which was used as a background to aid the development of a study and report on potential revisions to the Home Health Prospective Payment System (HH PPS). Report includes rural populations.
Author(s): Judy Goldberg Dey, Margaret Johnson, William Pajerowski, Myra Tanamor, Alyson Ward
Date: 01/2011
Sponsoring organization: Centers for Medicare and Medicaid Services
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