Rural Health
Resources by Topic: Reimbursement and payment models
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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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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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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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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Health Care Expenditures for Urban and Rural Veterans in Veterans Health Administration Care
Details a study on the difference in healthcare expenditures for rural and urban veterans by the Veterans Health Administration. Compares expenditures of rural and urban veterans using VA Care, those not using VA Care, and nonveterans.
Author(s): Alan N West, William B Weeks
Citation: Health Service Research, 44(5p1), 1718-1734
Date: 10/2009
Type: Document
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Details a study on the difference in healthcare expenditures for rural and urban veterans by the Veterans Health Administration. Compares expenditures of rural and urban veterans using VA Care, those not using VA Care, and nonveterans.
Author(s): Alan N West, William B Weeks
Citation: Health Service Research, 44(5p1), 1718-1734
Date: 10/2009
Type: Document
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Rural Issues Related to Bundled Payments for Acute Care Episodes
Describes challenges to implementing bundled payments in rural settings and discusses potential contracting and reimbursement strategies to address these challenges.
Author(s): Robert Town, Walter Gregg, Ira Moscovice, et al.
Date: 06/2009
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Describes challenges to implementing bundled payments in rural settings and discusses potential contracting and reimbursement strategies to address these challenges.
Author(s): Robert Town, Walter Gregg, Ira Moscovice, et al.
Date: 06/2009
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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A Rural Perspective/Commentary Regarding "Transforming the Health Care Delivery System: Proposals to Improve Patient Care and Reduce Health Care Costs"
Outlines the potential impacts of proposed policy reform options from the Senate Finance Committee on rural America. Covers payment reform, long-term payment reforms, healthcare infrastructure investments, Medicare Advantage, and public program integrity.
Author(s): Keith J. Mueller, Andrew F. Coburn, A. Clinton MacKinney, Timothy D. McBride, Rebecca T. Slifkin
Date: 05/2009
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Outlines the potential impacts of proposed policy reform options from the Senate Finance Committee on rural America. Covers payment reform, long-term payment reforms, healthcare infrastructure investments, Medicare Advantage, and public program integrity.
Author(s): Keith J. Mueller, Andrew F. Coburn, A. Clinton MacKinney, Timothy D. McBride, Rebecca T. Slifkin
Date: 05/2009
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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MedPAC Report to the Congress: Medicare Payment Policy, 2009
Offers an annual review of Medicare payment policies, with recommendations to Congress. Discusses rural aspects of Medicare payment policies throughout the report.
Date: 03/2009
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Offers an annual review of Medicare payment policies, with recommendations to Congress. Discusses rural aspects of Medicare payment policies throughout the report.
Date: 03/2009
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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CMS Value-Based Purchasing Program and Critical Access Hospitals
Addresses the implications of value-based purchasing (VBP) for the cost-based reimbursement that Critical Access Hospitals (CAHs) receive. Describes the Rural Health Panel's recommendations for action.
Additional links: Summary of Recommendations
Author(s): Andrew F. Coburn, A. Clinton MacKinney, Timothy D. McBride, et al.
Date: 01/2009
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Addresses the implications of value-based purchasing (VBP) for the cost-based reimbursement that Critical Access Hospitals (CAHs) receive. Describes the Rural Health Panel's recommendations for action.
Additional links: Summary of Recommendations
Author(s): Andrew F. Coburn, A. Clinton MacKinney, Timothy D. McBride, et al.
Date: 01/2009
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Medicare Physician Payment Policy and the Rural Perspective
Examines the effects of Medicare payment changes on rural physician practice revenue. Discusses the potential impact on physicians' decisions regarding whether to practice in a rural area, whether to accept Medicare patients, and which specialty to pursue.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Timothy D. McBride
Date: 11/2008
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines the effects of Medicare payment changes on rural physician practice revenue. Discusses the potential impact on physicians' decisions regarding whether to practice in a rural area, whether to accept Medicare patients, and which specialty to pursue.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Timothy D. McBride
Date: 11/2008
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural Policy Research Institute Health Panel Response to CMS' Report to Congress: Plan to Implement a Medicare Hospital Value-Based Purchasing Program
Shares RUPRI Rural Health Panel recommendations related to CMS's plans for value-based purchasing and discusses the potential impact on rural hospitals.
Author(s): Andrew F. Coburn, A. Clinton MacKinney, Timothy D. McBride, et al.
Date: 10/2008
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Shares RUPRI Rural Health Panel recommendations related to CMS's plans for value-based purchasing and discusses the potential impact on rural hospitals.
Author(s): Andrew F. Coburn, A. Clinton MacKinney, Timothy D. McBride, et al.
Date: 10/2008
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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