Rural Health
Resources by Topic: Reimbursement and payment models
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
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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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
Type: Document
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
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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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
Type: Document
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
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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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
Type: Document
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
Type: Document
Sponsoring organization: Government Accountability Office
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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
Type: Document
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
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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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
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Innovation in Behavioral Health (IBH) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Innovation in Behavioral Health (IBH) Model, a voluntary state-based model designed to improve the quality of care and behavioral and physical health outcomes of Medicaid and Medicare populations with moderate to severe mental health conditions and substance use disorders (SUD).
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Innovation in Behavioral Health (IBH) Model, a voluntary state-based model designed to improve the quality of care and behavioral and physical health outcomes of Medicaid and Medicare populations with moderate to severe mental health conditions and substance use disorders (SUD).
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Transforming Episode Accountability Model (TEAM)
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Transforming Episode Accountability Model (TEAM), an episode-based alternative payment method in which selected acute care hospitals will coordinate care for patients who undergo certain surgeries. Aims to improve the coordination and transition of care between providers for patients.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Transforming Episode Accountability Model (TEAM), an episode-based alternative payment method in which selected acute care hospitals will coordinate care for patients who undergo certain surgeries. Aims to improve the coordination and transition of care between providers for patients.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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National Academy for State Health Policy (NASHP) State Trackers
Provides links to information on state legislation and policies on a variety of health and health-related topics, including aging, behavioral health, children's health, health workforce, telehealth, and more. State trackers feature interactive national maps with state-level information.
Type: Website
Sponsoring organization: National Academy for State Health Policy
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Provides links to information on state legislation and policies on a variety of health and health-related topics, including aging, behavioral health, children's health, health workforce, telehealth, and more. State trackers feature interactive national maps with state-level information.
Type: Website
Sponsoring organization: National Academy for State Health Policy
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ACO Primary Care Flex Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Primary Care Flex Model, which will test how prospective payments and increased funding for primary care in accountable care organizations (ACOs) impact health outcomes, quality, and costs of care. Aims to increase the number of low-revenue ACOs participating in the Medicare Shared Savings Program (SSP), including ACOs serving rural and underserved populations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Primary Care Flex Model, which will test how prospective payments and increased funding for primary care in accountable care organizations (ACOs) impact health outcomes, quality, and costs of care. Aims to increase the number of low-revenue ACOs participating in the Medicare Shared Savings Program (SSP), including ACOs serving rural and underserved populations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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ACO Primary Care Flex Model: Model Overview Factsheet
Describes the ACO Primary Care Flex Model from the CMS Innovation Center including purpose and goals, eligibility and participation criteria, payment overview, and application and timeline. Includes information for Federally Qualified Health Centers and Rural Health Clinics.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Describes the ACO Primary Care Flex Model from the CMS Innovation Center including purpose and goals, eligibility and participation criteria, payment overview, and application and timeline. Includes information for Federally Qualified Health Centers and Rural Health Clinics.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details