Rural Health
Resources by Topic: Reimbursement and payment models
MedPAC Report to the Congress: Medicare Payment Policy, 2007
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2007
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: 03/2007
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Hospital Size, Uncertainty and Pay-for-Performance
Describes the Hospital Quality Incentive Demonstration (HQID). Describes methods to factor hospital size into appropriately ranking pay-for-performance results. Discusses policy implications of including small, rural hospitals in pay-for-performance programs that use ranking to identify quality.
Additional links: Policy Brief: Does Hospital Size Affect Our Ability to Accurately Identify High Quality Care in Pay-for-Performance Programs?, May 2007
Author(s): Gestur Davidson, Ira Moscovice, Denise Remus
Date: 02/2007
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Describes the Hospital Quality Incentive Demonstration (HQID). Describes methods to factor hospital size into appropriately ranking pay-for-performance results. Discusses policy implications of including small, rural hospitals in pay-for-performance programs that use ranking to identify quality.
Additional links: Policy Brief: Does Hospital Size Affect Our Ability to Accurately Identify High Quality Care in Pay-for-Performance Programs?, May 2007
Author(s): Gestur Davidson, Ira Moscovice, Denise Remus
Date: 02/2007
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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MedPAC Report to the Congress: Rural Payment Provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Examines the impact of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) provisions on rural hospital payments. Present the effect of eight MMA provisions on Medicare inpatient and outpatient payments to traditional (non-CAH) hospitals. Summarizes the MMA changes to Critical Access Hospital (CAH) payment policies discussed in MedPAC's interim report. Examines the effects of higher payments on hospital costs.
Date: 12/2006
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Examines the impact of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) provisions on rural hospital payments. Present the effect of eight MMA provisions on Medicare inpatient and outpatient payments to traditional (non-CAH) hospitals. Summarizes the MMA changes to Critical Access Hospital (CAH) payment policies discussed in MedPAC's interim report. Examines the effects of higher payments on hospital costs.
Date: 12/2006
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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The Implementation of Pay-For-Performance in Rural Hospitals: Lessons from the Hospital Quality Incentive Demonstration Project
Reports the findings of a national study designed to identify institutional, organizational, and environmental factors that influence the experience of rural hospitals in the Hospital Quality Incentive Demonstration Project.
Author(s): Walter Gregg, Ira Moscovice, Denise Remus
Date: 09/2006
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Reports the findings of a national study designed to identify institutional, organizational, and environmental factors that influence the experience of rural hospitals in the Hospital Quality Incentive Demonstration Project.
Author(s): Walter Gregg, Ira Moscovice, Denise Remus
Date: 09/2006
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Medicare Physician Payment: Impacts of Changes on Rural Physicians
Presents an overview of the effects of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 on physician payment rates in rural areas.
Author(s): Keith J. Mueller, A. Clinton MacKinney, Timothy D. McBride
Date: 09/2006
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Presents an overview of the effects of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 on physician payment rates in rural areas.
Author(s): Keith J. Mueller, A. Clinton MacKinney, Timothy D. McBride
Date: 09/2006
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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A Primer on the Occupational Mix Adjustment to the Medicare Hospital Wage Index
Focuses on the occupational mix adjustment (OMA) to the labor-related share in the hospital inpatient prospective payment system. Explains what the OMA is, why it is needed, and how it has been calculated. Discusses reasons the effect of the OMA has been less than some rural advocates anticipated.
Author(s): Kristin Reiter, Rebecca Slifkin, Mark Holmes
Date: 09/2006
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Focuses on the occupational mix adjustment (OMA) to the labor-related share in the hospital inpatient prospective payment system. Explains what the OMA is, why it is needed, and how it has been calculated. Discusses reasons the effect of the OMA has been less than some rural advocates anticipated.
Author(s): Kristin Reiter, Rebecca Slifkin, Mark Holmes
Date: 09/2006
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Medicare Physician Payments: Trends in Service Utilization, Spending, and Fees Prompt Consideration of Alternative Payment Approaches
Statement discussing the sustainable growth rate (SGR) system, which Medicare uses to determine annual changes to physician fees. Includes some rural-specific information.
Additional links: Full Report
Author(s): A. Bruce Steinwald
Date: 07/2006
Type: Document
Sponsoring organization: Government Accountability Office
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Statement discussing the sustainable growth rate (SGR) system, which Medicare uses to determine annual changes to physician fees. Includes some rural-specific information.
Additional links: Full Report
Author(s): A. Bruce Steinwald
Date: 07/2006
Type: Document
Sponsoring organization: Government Accountability Office
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Comparison of the Rural Health Clinic and Federally Qualified Health Center Programs
Provides a general comparison of the financial components of the Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) programs under Medicare and Medicaid.
Date: 06/2006
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Provides a general comparison of the financial components of the Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) programs under Medicare and Medicaid.
Date: 06/2006
Type: Document
Sponsoring organization: Health Resources and Services Administration
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MedPAC Report to the Congress: Medicare Payment Policy, 2006
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2006
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: 03/2006
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Trends in Skilled Nursing and Swing-bed Use in Rural Areas, 1996-2003
Examines trends in the delivery of skilled nursing facility (SNF) services in rural areas during a period of dramatic change in Medicare payments. Focuses on the role of rural hospitals in providing SNF services, as a number of regulatory changes occurred between 1998 and 2002 that could potentially influence hospital provision of skilled nursing care.
Author(s): Kathleen Dalton, Jeongyoung Park, Ann Howard, Rebecca Slifkin
Date: 12/2005
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Examines trends in the delivery of skilled nursing facility (SNF) services in rural areas during a period of dramatic change in Medicare payments. Focuses on the role of rural hospitals in providing SNF services, as a number of regulatory changes occurred between 1998 and 2002 that could potentially influence hospital provision of skilled nursing care.
Author(s): Kathleen Dalton, Jeongyoung Park, Ann Howard, Rebecca Slifkin
Date: 12/2005
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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