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Rural Health Information Hub

Rural Health
Resources by Topic: Reimbursement and payment models

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
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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
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
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
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
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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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
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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MedPAC Report to the Congress: Reforming the Delivery System
Describes a direction for Medicare payment and delivery system reform, makes recommendations to promote primary care, and examines hospital–physician collaborative relationships. Includes rural/urban data related to skilled nursing facilities and hospice.
Date: 06/2008
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2008
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2008
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Inpatient Psychiatric Units Improve Access to Community-Based Mental Health Services, but Medicare Payment Policy a Barrier
Examines inpatient psychiatric units (IPUs) in rural hospitals as well as the community-based mental health services available to patients.
Author(s): Stephenie Loux, David Hartley, David Lambert
Date: 08/2007
Sponsoring organization: Maine Rural Health Research Center
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Potential Refinements to Medicare's Wage Indexes for Hospitals and Other Sectors
Analyzes issues in the Medicare wage index and alternative wage indexes. Includes a historical overview of the Medicare wage index.
Author(s): Kathleen Dalton, Gregory C. Pope, Walter Adamache, Brian Dulisse, Nathan West
Date: 06/2007
Sponsoring organization: Medicare Payment Advisory Commission
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