Rural Health
Resources by Topic: Medicare
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
Sponsoring organization: North Carolina Rural Health Research Program
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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
Sponsoring organization: North Carolina Rural Health Research Program
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Ambulance Services: Medicare Payments Can be Better Targeted to Trips in Less Densely Populated Rural Areas
Covers factors that affect ambulance costs per trip, how these factors vary across geographic areas, and how well Medicare payments account for geographic cost differences.
Additional links: Full Report
Date: 09/2003
Sponsoring organization: Government Accountability Office
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Covers factors that affect ambulance costs per trip, how these factors vary across geographic areas, and how well Medicare payments account for geographic cost differences.
Additional links: Full Report
Date: 09/2003
Sponsoring organization: Government Accountability Office
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MedPAC Report to the Congress: Variation and Innovation in Medicare
Analyzes variation within the Medicare program and explores a variety of possible payment innovations. Includes some rural-specific information. Geographic, market, quality, hospital financial performance, and use of physician services variations are covered. Also examines Medicare's reimbursement for Part B drugs. Recommendations include quality incentives and competitive pricing.
Date: 06/2003
Sponsoring organization: Medicare Payment Advisory Commission
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Analyzes variation within the Medicare program and explores a variety of possible payment innovations. Includes some rural-specific information. Geographic, market, quality, hospital financial performance, and use of physician services variations are covered. Also examines Medicare's reimbursement for Part B drugs. Recommendations include quality incentives and competitive pricing.
Date: 06/2003
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2003
Report to the Congress. Reviews the Medicare prospective payment systems (PPSs) for seven sectors: hospital inpatient, hospital outpatient, physician, skilled nursing, home health, outpatient dialysis, and ambulatory surgical center services. Also discusses broader issues related to Medicare payments. Includes recommendations. Appendix with data on hospital financial performance for 1991-2000.
Date: 03/2003
Sponsoring organization: Medicare Payment Advisory Commission
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Report to the Congress. Reviews the Medicare prospective payment systems (PPSs) for seven sectors: hospital inpatient, hospital outpatient, physician, skilled nursing, home health, outpatient dialysis, and ambulatory surgical center services. Also discusses broader issues related to Medicare payments. Includes recommendations. Appendix with data on hospital financial performance for 1991-2000.
Date: 03/2003
Sponsoring organization: Medicare Payment Advisory Commission
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An Assessment of Proposals for a Medicare Outpatient Prescription Drug Benefit: The Rural Perspective
Assesses legislative proposals to add an outpatient prescription drug benefit to the Medicare program and their implications for the delivery of services and the welfare of beneficiaries in rural areas.
Author(s): Andrew F. Coburn, Charles W. Fluharty, J. Patrick Hart, et al.
Date: 01/2003
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Assesses legislative proposals to add an outpatient prescription drug benefit to the Medicare program and their implications for the delivery of services and the welfare of beneficiaries in rural areas.
Author(s): Andrew F. Coburn, Charles W. Fluharty, J. Patrick Hart, et al.
Date: 01/2003
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s
Presents the findings of an analysis of payment trends for providers qualifying under Medicare special payment provisions for rural providers. Covers payment trends for rural hospitals, Rural Health Clinics, Federally Qualified Health Centers, and physicians.
Author(s): Donna O. Farley, Lisa R. Shugarman, Pat Taylor, et al.
Date: 06/2002
Sponsoring organization: RAND Corporation
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Presents the findings of an analysis of payment trends for providers qualifying under Medicare special payment provisions for rural providers. Covers payment trends for rural hospitals, Rural Health Clinics, Federally Qualified Health Centers, and physicians.
Author(s): Donna O. Farley, Lisa R. Shugarman, Pat Taylor, et al.
Date: 06/2002
Sponsoring organization: RAND Corporation
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Medicare Minus Choice: How HMO Withdrawals Affect Rural Beneficiaries
Assesses the impact of Medicare HMO withdrawals and service reductions on rural Medicare beneficiaries.
Author(s): Ira Moscovice
Date: 10/2001
Sponsoring organization: University of Minnesota Rural Health Research Center
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Assesses the impact of Medicare HMO withdrawals and service reductions on rural Medicare beneficiaries.
Author(s): Ira Moscovice
Date: 10/2001
Sponsoring organization: University of Minnesota Rural Health Research Center
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Comments on the June 2001 Report of the Medicare Payment Advisory Commission: Medicare in Rural America
A response to recommendations and findings presented in the June 2001 report of the Medicare Payment Advisory Commission, Medicare in Rural America, with the intent of advancing a policy discussion regarding how Medicare could be more responsive to the special needs of rural America.
Author(s): Andrew Coburn, Charles Fluharty, J. Patrick Hart, et al.
Date: 09/2001
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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A response to recommendations and findings presented in the June 2001 report of the Medicare Payment Advisory Commission, Medicare in Rural America, with the intent of advancing a policy discussion regarding how Medicare could be more responsive to the special needs of rural America.
Author(s): Andrew Coburn, Charles Fluharty, J. Patrick Hart, et al.
Date: 09/2001
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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MedPAC Report to the Congress: Medicare in Rural America, 2001
Overview of Medicare and rural healthcare. Covers rural access to care, quality of care, and Medicare payments. Also examines rural beneficiaries' access to Medicare+Choice health plans.
Date: 06/2001
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of Medicare and rural healthcare. Covers rural access to care, quality of care, and Medicare payments. Also examines rural beneficiaries' access to Medicare+Choice health plans.
Date: 06/2001
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Reform: A Rural Perspective
Examines the status of the Medicare program as it relates to rural beneficiaries. Focuses on key policy issues to ensure that rural beneficiaries are treated fairly under a newly designed Medicare program. Discusses rural healthcare finance, access, quality, and workforce. Discusses Medicare reform and makes recommendations.
Date: 05/2001
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Examines the status of the Medicare program as it relates to rural beneficiaries. Focuses on key policy issues to ensure that rural beneficiaries are treated fairly under a newly designed Medicare program. Discusses rural healthcare finance, access, quality, and workforce. Discusses Medicare reform and makes recommendations.
Date: 05/2001
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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