Rural Health
Resources by Topic: Reimbursement and payment models
MedPAC Report to Congress: Regional Variation in Medicare Service Use
Presents data on regional variations in Medicare spending and Medicare-covered service use, including for nonmetropolitan areas. Data used was adjusted to account for differences in small rural hospital and Critical Access Hospital Medicare payment rates.
Date: 01/2011
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Presents data on regional variations in Medicare spending and Medicare-covered service use, including for nonmetropolitan areas. Data used was adjusted to account for differences in small rural hospital and Critical Access Hospital Medicare payment rates.
Date: 01/2011
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Cedar Rapids, Iowa, September 15-17th, 2010
Minutes from the 66th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS). The meeting included discussions on childhood obesity in rural communities and the rural implications of accountable care organizations and payment bundling.
Date: 09/2010
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Minutes from the 66th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS). The meeting included discussions on childhood obesity in rural communities and the rural implications of accountable care organizations and payment bundling.
Date: 09/2010
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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The Patient Protection and Affordable Care Act of 2010: Impacts on Rural People, Places, and Providers: A First Look
Summarizes six issue areas of the Affordable Care Act (ACA) and discusses implications for access to services and improving the health status of rural residents. These issue areas are: health insurance coverage; Medicare and Medicaid payment; quality, financing, and delivery system reform; public health; healthcare workforce; and long-term care.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, Timothy D. McBride, Keith J. Mueller
Date: 09/2010
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Summarizes six issue areas of the Affordable Care Act (ACA) and discusses implications for access to services and improving the health status of rural residents. These issue areas are: health insurance coverage; Medicare and Medicaid payment; quality, financing, and delivery system reform; public health; healthcare workforce; and long-term care.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, Timothy D. McBride, Keith J. Mueller
Date: 09/2010
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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A Comparison of Rural Hospitals with Special Medicare Payment Provisions to Urban and Rural Hospitals Paid Under Prospective Payment
Compares the financial performance and condition of rural hospitals with special Medicare payment provisions - Critical Access Hospitals (CAHs), Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), and Rural Referral Centers (RRCs) - to urban and rural hospitals paid under prospective payment.
Additional links: Findings Brief: A Financial Comparison of Rural Hospitals With Special Medicare Payment Provisions to Hospitals Paid Under Prospective Payment, 4/2010, Findings Brief: Profitability of Rural Hospitals Paid Under Prospective Payment Compared to Rural Hospitals with Special Medicare Payment Provisions, 9/2010
Author(s): G. Mark Holmes, George H. Pink, Sarah A. Friedman, Hilda A. Howard
Date: 08/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Compares the financial performance and condition of rural hospitals with special Medicare payment provisions - Critical Access Hospitals (CAHs), Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), and Rural Referral Centers (RRCs) - to urban and rural hospitals paid under prospective payment.
Additional links: Findings Brief: A Financial Comparison of Rural Hospitals With Special Medicare Payment Provisions to Hospitals Paid Under Prospective Payment, 4/2010, Findings Brief: Profitability of Rural Hospitals Paid Under Prospective Payment Compared to Rural Hospitals with Special Medicare Payment Provisions, 9/2010
Author(s): G. Mark Holmes, George H. Pink, Sarah A. Friedman, Hilda A. Howard
Date: 08/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Increases in Primary Care Physician Income due to the Patient Protection and Affordable Care Act of 2010--Continued Tweaking of Physician Payment
Examines changes authorized by the Patient Protection and Affordable Care Act (ACA) to the Resource-Based Relative Value Scale (RBRVS) system aimed at increasing primary care physician personal income and reducing geographic variation in primary care payment. Looks at ACA-authorized primary care payment adjustments in a prototypical rural primary care practice to assess the potential impact on physician personal income and the likelihood that the changes will achieve the desired policy outcome.
Author(s): A. Clinton MacKinney
Date: 07/2010
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines changes authorized by the Patient Protection and Affordable Care Act (ACA) to the Resource-Based Relative Value Scale (RBRVS) system aimed at increasing primary care physician personal income and reducing geographic variation in primary care payment. Looks at ACA-authorized primary care payment adjustments in a prototypical rural primary care practice to assess the potential impact on physician personal income and the likelihood that the changes will achieve the desired policy outcome.
Author(s): A. Clinton MacKinney
Date: 07/2010
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, Charleston, South Carolina, June 14-16, 2010
Minutes from the June 14-16, 2010, NACRHHS meeting in Charleston, South Carolina. NACRHHS provides recommendations on rural health and human services issues to the Secretary of the Department of Health and Human Services. Meeting included discussions on the following topics: childhood obesity, Early Head Start programs, and rural implications of payment bundling and accountable care organizations.
Date: 06/2010
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Minutes from the June 14-16, 2010, NACRHHS meeting in Charleston, South Carolina. NACRHHS provides recommendations on rural health and human services issues to the Secretary of the Department of Health and Human Services. Meeting included discussions on the following topics: childhood obesity, Early Head Start programs, and rural implications of payment bundling and accountable care organizations.
Date: 06/2010
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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States' Use of Cost-Based Reimbursement for Medicaid Services at Critical Access Hospitals
Explains cost-based reimbursement for Critical Access Hospitals (CAHs). Documents which of the 45 states with CAHs utilize a cost-based reimbursement methodology for Medicaid.
Author(s): Andrea Radford, Mike Hamon, Caitlin Nelligan
Date: 04/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Explains cost-based reimbursement for Critical Access Hospitals (CAHs). Documents which of the 45 states with CAHs utilize a cost-based reimbursement methodology for Medicaid.
Author(s): Andrea Radford, Mike Hamon, Caitlin Nelligan
Date: 04/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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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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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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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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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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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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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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