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Rural Health
Resources by Topic: Reimbursement and payment models

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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MedPAC Report to the Congress: Promoting Greater Efficiency in Medicare
Describes the changing beneficiary profile in Medicare and its implications for the program. Examines approaches to promote greater efficiency in the Medicare program. Includes in-depth discussion of the wage index and rural areas.
Date: 06/2007
Sponsoring organization: Medicare Payment Advisory Commission
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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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MedPAC Report to the Congress: Medicare Payment Policy, 2007
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2007
Sponsoring organization: Medicare Payment Advisory Commission
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Hospital Size, Uncertainty and Pay-for-Performance
Describes the Hospital Quality Incentive Demonstration (HQID). Describes methods to factor hospital size into appropriately ranking pay-for-performance results. Discusses policy implications of including small, rural hospitals in pay-for-performance programs that use ranking to identify quality.
Additional links: Policy Brief: Does Hospital Size Affect Our Ability to Accurately Identify High Quality Care in Pay-for-Performance Programs?, May 2007
Author(s): Gestur Davidson, Ira Moscovice, Denise Remus
Date: 02/2007
Sponsoring organization: Upper Midwest Rural Health Research Center
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