Rural Health
Resources by Topic: Reimbursement and payment models
Revisions to Medicare's Disproportionate Share Payment Policy to Incorporate Bad Debt and Charity Care
Investigates the impact of possible changes to the Medicare disproportionate share (DSH) payment policy, designed to incorporate information on the hospital's uncompensated care burden as well as to improve the payment formula. These analyses are intended to help policymakers evaluate the likely impact of revising the DSH payment methodology.
Author(s): Julie A. Schoenman, Janet P. Sutton, Lan Zhao
Date: 09/2005
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Investigates the impact of possible changes to the Medicare disproportionate share (DSH) payment policy, designed to incorporate information on the hospital's uncompensated care burden as well as to improve the payment formula. These analyses are intended to help policymakers evaluate the likely impact of revising the DSH payment methodology.
Author(s): Julie A. Schoenman, Janet P. Sutton, Lan Zhao
Date: 09/2005
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Utilization of Home Health Services Among Rural Medicare Beneficiaries Before and After the PPS: Final Report
Describes the results of a study on the rural effects of the Medicare prospective payment system (PPS), including whether the PPS contributed to changes in the demographic and clinical characteristics of home care users; the likelihood of using each of six home care disciplines; and the intensity of services.
Author(s): Janet P. Sutton
Date: 08/2005
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Describes the results of a study on the rural effects of the Medicare prospective payment system (PPS), including whether the PPS contributed to changes in the demographic and clinical characteristics of home care users; the likelihood of using each of six home care disciplines; and the intensity of services.
Author(s): Janet P. Sutton
Date: 08/2005
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Health Centers and Rural Clinics: State and Federal Implementation Issues for Medicaid's New Payment System
Reviews states' implementation of the prospective payment system (PPS) for Medicaid payments to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Includes recommendations for CMS on guidance and oversight for states.
Additional links: Full Report
Date: 06/2005
Sponsoring organization: Government Accountability Office
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Reviews states' implementation of the prospective payment system (PPS) for Medicaid payments to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Includes recommendations for CMS on guidance and oversight for states.
Additional links: Full Report
Date: 06/2005
Sponsoring organization: Government Accountability Office
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MedPAC Report to the Congress: Medicare Payment Policy, 2005
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report. Includes discussion of strategies to improve care, including pay for performance and information technology.
Date: 03/2005
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. Includes discussion of strategies to improve care, including pay for performance and information technology.
Date: 03/2005
Sponsoring organization: Medicare Payment Advisory Commission
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Home Health Payment Reform: Trends in the Supply of Rural Agencies and Availability of Home-Based Skilled Services
Reports on changes in the supply of home health agencies in rural and urban areas before and after the Balanced Budget Act (BBA) of 1997, which changed reimbursement for home health. Also looks at provision of physical therapy, occupational therapy, speech therapy, and medical social work by rural and urban home health agencies.
Author(s): Janet P. Sutton
Date: 03/2005
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Reports on changes in the supply of home health agencies in rural and urban areas before and after the Balanced Budget Act (BBA) of 1997, which changed reimbursement for home health. Also looks at provision of physical therapy, occupational therapy, speech therapy, and medical social work by rural and urban home health agencies.
Author(s): Janet P. Sutton
Date: 03/2005
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Medicare Physician Fees: Geographic Adjustment Indices Are Valid in Design, but Data and Methods Need Refinement
Discusses Medicare's geographic practice cost indices (GPCI). Includes discussion of how these indices impact rural physicians, physician incomes, location, recruitment, and retention.
Additional links: Full Report
Date: 03/2005
Sponsoring organization: Government Accountability Office
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Discusses Medicare's geographic practice cost indices (GPCI). Includes discussion of how these indices impact rural physicians, physician incomes, location, recruitment, and retention.
Additional links: Full Report
Date: 03/2005
Sponsoring organization: Government Accountability Office
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Impacts of the Medicare Modernization Act on Rural Health Systems and Beneficiaries
Offers an analysis of rural-pertinent provisions of the Medicare Modernization Act of 2003. Summarizes legislative and regulatory provisions of special significance to rural beneficiaries and health care systems.
Author(s): Keith Mueller, Andrew Coburn, Charles Fluharty, et al.
Date: 02/2005
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers an analysis of rural-pertinent provisions of the Medicare Modernization Act of 2003. Summarizes legislative and regulatory provisions of special significance to rural beneficiaries and health care systems.
Author(s): Keith Mueller, Andrew Coburn, Charles Fluharty, et al.
Date: 02/2005
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Medicare Hospice Care: Modifications to Payment Methodology May Be Warranted
Discusses proposed adjustments to Medicare payments for hospice services. Includes some information on rural aspects of hospice and Medicare reimbursement.
Additional links: Full Report
Date: 10/2004
Sponsoring organization: Government Accountability Office
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Discusses proposed adjustments to Medicare payments for hospice services. Includes some information on rural aspects of hospice and Medicare reimbursement.
Additional links: Full Report
Date: 10/2004
Sponsoring organization: Government Accountability Office
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Medicare: Information Needed to Assess Adequacy of Rate-Setting Methodology for Payments for Hospital Outpatient Services
Examines whether the outpatient prospective payment system (OPPS) rate-setting methodology results in payment rates that uniformly reflect hospitals' costs for providing drugs and devices. Includes information specific to rural hospitals and the OPPS.
Additional links: Full Report
Date: 09/2004
Sponsoring organization: Government Accountability Office
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Examines whether the outpatient prospective payment system (OPPS) rate-setting methodology results in payment rates that uniformly reflect hospitals' costs for providing drugs and devices. Includes information specific to rural hospitals and the OPPS.
Additional links: Full Report
Date: 09/2004
Sponsoring organization: Government Accountability Office
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Exploring the Impact of Medicare's Post-Acute Care Transfer Payment Policy on Rural Hospitals
Describes a change in Medicare post-acute transfer payment policy and its impact on rural and urban hospitals. Includes data on the financial impact and hospital discharge behavior before and after the change.
Author(s): Julie A. Schoenman
Date: 07/2004
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Describes a change in Medicare post-acute transfer payment policy and its impact on rural and urban hospitals. Includes data on the financial impact and hospital discharge behavior before and after the change.
Author(s): Julie A. Schoenman
Date: 07/2004
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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