Rural Health
Resources by Topic: Policy
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
Type: Document
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
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Medicare Physician Payment
Provides an overview of how physicians are paid by Medicare, with a focus on the adjustments made related to geographic practice cost indexes (GPCIs). Discusses rural issues related to Medicare physician payment, including impact on physician recruitment and retention and healthcare access.
Author(s): A. Clinton MacKinney, Michael D. Shambaugh-Miller, Keith Mueller
Citation: RUPRI Rural Policy Brief, 8(2)
Date: 01/2003
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Provides an overview of how physicians are paid by Medicare, with a focus on the adjustments made related to geographic practice cost indexes (GPCIs). Discusses rural issues related to Medicare physician payment, including impact on physician recruitment and retention and healthcare access.
Author(s): A. Clinton MacKinney, Michael D. Shambaugh-Miller, Keith Mueller
Citation: RUPRI Rural Policy Brief, 8(2)
Date: 01/2003
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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State Licensure Laws and the Mental Health Professions: Implications for the Rural Mental Health Workforce
Examines licensure statutes and administrative rules for social workers, psychologists, professional counselors, and marriage and family therapists in the 40 states that have at least 10% of the population living in rural areas. Covers scope of practice, training and supervision, and reimbursement.
Additional links: Executive Summary, May 2002
Author(s): David Hartley, Erika C. Ziller, David Lambert, Stephenie L. Loux, Donna C. Bird
Date: 10/2002
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Examines licensure statutes and administrative rules for social workers, psychologists, professional counselors, and marriage and family therapists in the 40 states that have at least 10% of the population living in rural areas. Covers scope of practice, training and supervision, and reimbursement.
Additional links: Executive Summary, May 2002
Author(s): David Hartley, Erika C. Ziller, David Lambert, Stephenie L. Loux, Donna C. Bird
Date: 10/2002
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Health Services at Risk in "Vulnerable" Rural Places
Describes a method to identify vulnerable rural places at risk for not having adequate health care services. Reasons for community vulnerability discussed include sparse population, lack of sufficient people able to pay for care, and current level of services that population size and composition cannot support.
Author(s): Michael D. Shambaugh-Miller, Julie Stoner, Louis Pol, Keith Mueller
Citation: RUPRI Rural Policy Brief, 7(5)
Date: 10/2002
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes a method to identify vulnerable rural places at risk for not having adequate health care services. Reasons for community vulnerability discussed include sparse population, lack of sufficient people able to pay for care, and current level of services that population size and composition cannot support.
Author(s): Michael D. Shambaugh-Miller, Julie Stoner, Louis Pol, Keith Mueller
Citation: RUPRI Rural Policy Brief, 7(5)
Date: 10/2002
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Pray, Montana, September 2-4, 2002.
Minutes from a National Advisory Committee on Rural Health & Human Services meeting addressing the following topics: the Rural Hospital Flexibility Grant Program (Flex) and Small Rural Hospital Improvement Grant (SHIP) Programs, quality of care in rural hospitals, and a Montana health workforce shortage task force.
Date: 09/2002
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Minutes from a National Advisory Committee on Rural Health & Human Services meeting addressing the following topics: the Rural Hospital Flexibility Grant Program (Flex) and Small Rural Hospital Improvement Grant (SHIP) Programs, quality of care in rural hospitals, and a Montana health workforce shortage task force.
Date: 09/2002
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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One Department Serving Rural America
Reports findings from a U.S. Department of Health and Human Services (HHS) task force focused on improving healthcare and human services in rural communities. Describes health and social services challenges facing rural America, barriers to serving rural areas, and HHS-wide goals and strategies to address these concerns.
Author(s): HHS Rural Task Force
Date: 07/2002
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Reports findings from a U.S. Department of Health and Human Services (HHS) task force focused on improving healthcare and human services in rural communities. Describes health and social services challenges facing rural America, barriers to serving rural areas, and HHS-wide goals and strategies to address these concerns.
Author(s): HHS Rural Task Force
Date: 07/2002
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Rural Hospital Access to Capital: Issues and Recommendations
Identifies federal programs that have or could help rural hospitals meet their capital needs, assesses whether rural hospitals have difficulty getting capital under the current programs, and makes recommendations for improvement. The Hospital Mortgage Insurance Program (HUD 242) and USDA Community Facilities Program (CFP) are discussed.
Author(s): Walter Gregg, Astrid Knott, Ira Moscovice
Date: 07/2002
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Identifies federal programs that have or could help rural hospitals meet their capital needs, assesses whether rural hospitals have difficulty getting capital under the current programs, and makes recommendations for improvement. The Hospital Mortgage Insurance Program (HUD 242) and USDA Community Facilities Program (CFP) are discussed.
Author(s): Walter Gregg, Astrid Knott, Ira Moscovice
Date: 07/2002
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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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
Type: Document
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
Type: Document
Sponsoring organization: RAND Corporation
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Tucson and Bisbee, Arizona, June 9-11, 2002
Minutes of a National Advisory Committee on Rural Health & Human Services meeting focused on health issues in the U.S.-Mexico Border region, including chronic disease, health services needs related to immigration, malpractice insurance costs, and lack of obstetric services.
Date: 06/2002
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Minutes of a National Advisory Committee on Rural Health & Human Services meeting focused on health issues in the U.S.-Mexico Border region, including chronic disease, health services needs related to immigration, malpractice insurance costs, and lack of obstetric services.
Date: 06/2002
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Financial Incentives for Rural Hospitals to Expand the Scope of Their Services
Examines the financial incentives that rural hospitals have to conduct surgery and treat more complex medical conditions. Evaluates whether rural hospitals that offer broader services are more profitable than hospitals with very limited inpatient services. A low-volume adjustment considered by the Medicare Payment Advisory Commissions (MedPAC) is discussed.
Author(s): Jeffrey Stensland, Michelle Brasure, Ira Moscovice, Tiffany Radcliff
Date: 06/2002
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines the financial incentives that rural hospitals have to conduct surgery and treat more complex medical conditions. Evaluates whether rural hospitals that offer broader services are more profitable than hospitals with very limited inpatient services. A low-volume adjustment considered by the Medicare Payment Advisory Commissions (MedPAC) is discussed.
Author(s): Jeffrey Stensland, Michelle Brasure, Ira Moscovice, Tiffany Radcliff
Date: 06/2002
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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