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Rural Health Information Hub

Rural Health
Resources by Topic: Reimbursement and payment models

MedPAC Report to the Congress: Medicare in Rural America, 2001
Overview of Medicare and rural healthcare. Covers rural access to care, quality of care, and Medicare payments. Also examines rural beneficiaries' access to Medicare+Choice health plans.
Date: 06/2001
Sponsoring organization: Medicare Payment Advisory Commission
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Update on Medicare+Choice: Rural Medicare Beneficiaries Enrolled in Medicare+Choice Plans through October 2000
Describes enrollment in Medicare+Choice in rural counties through October 2000.
Author(s): Timothy McBride, Courtney Andrews, Keith Mueller
Citation: RUPRI Rural Policy Brief, 6(7)
Date: 03/2001
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Key Rural Issues for Medicare Reform, 2001
Brief overview of rural issues related to Medicare reform. Discusses the need for rural representation and adequate payments to ensure healthcare access.
Date: 2001
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Hospital Wages and the Area Wage Index: 1990-1997
Examines whether incremental changes to the hospital wage index from 1990-1997 made it more fair across regions and how these changes impacted rural hospitals.
Additional links: Findings Brief, January 2001
Author(s): Kathleen Dalton, Rebecca Slifkin, Hilda Howard
Date: 11/2000
Sponsoring organization: North Carolina Rural Health Research Program
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Calculating and Using the Area Wage Index of the Medicare Inpatient Hospital Prospective Payment System
Explains how the area wage index (AWI) was developed to adjust Medicare payments to hospitals based on average hospital wages in an area. Identifies the major unresolved issues related to its calculation and use in the year 2000.
Author(s): Anthony Wellever
Citation: RUPRI Rural Policy Brief, 5(5)
Date: 06/2000
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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A Report on Enrollment: Rural Medicare Beneficiaries in Medicare+Choice Plans
Reports on changes in Medicare+Choice enrollment from December 1996 to October 1999. Also identifies Medicare+Choice plans added in 1998-1999.
Author(s): Brandi Shay, Timothy McBride, Keith Mueller
Citation: RUPRI Rural Policy Brief, 5(1)
Date: 03/2000
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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The Effect of Market Reform on Rural Public Health Departments
Reports on how rural health departments and populations they serve were affected by healthcare system changes in the 1990s, particularly Medicaid managed care. Based on site visits to four rural public health departments in each of five states: Georgia, Missouri, North Carolina, Oregon, and Wisconsin.
Author(s): Rebecca Slifkin, Pam Silberman, Susan Reif
Date: 01/2000
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Health Clinics: Rising Program Expenditures Not Focused on Improving Care in Isolated Areas
A review of the Rural Health Clinic (RHC) program. Examined whether the RHC program provides primary care access to Medicare and Medicaid recipients who otherwise would not have it. Also looked at controls in place for payments to RHCs from Medicare and Medicaid.
Additional links: Full Report
Date: 02/1997
Sponsoring organization: Government Accountability Office
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National Rural Health Policy: Recommendations from the First Eight Years of the National Advisory Committee on Rural Health
Summarizes activities and accomplishments of the National Advisory Committee on Rural Health from 1988-1996. Includes chapters on health workforce, Medicare payment policy, special needs of rural populations, and issues impacting rural health which the committee may address in the future.
Date: 01/1997
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Dashboard: Arkansas Acute Behavioral Health Events
Interactive dashboard providing data on acute behavioral health events, including emergency department visits, inpatient stays, prior and follow-up outpatient visits. Breaks down data at the county level by sex, age, and payer type.
Sponsoring organization: Arkansas Center for Health Improvement
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