Rural Health
Resources by Topic: Reimbursement and payment models
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
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
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
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
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
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
Sponsoring organization: Medicare Payment Advisory Commission
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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
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
Sponsoring organization: Flex Monitoring Team
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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
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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
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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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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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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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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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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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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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