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Rural Health Information Hub

Rural Health
Resources by Type: Document

Modeling the Frontier Extended Stay Clinic Conditions of Participation and Reimbursement Methodologies
Discusses the financial feasibility of the Frontier Extended Stay Clinic (FESC), a proposed provider type to expand services in remote and isolated primary care clinics. Compares Medicare reimbursement for FESC status with Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC), and Critical Access Hospital (CAH) reimbursement. Includes detailed examples of financial impact for seven clinics in rural Alaska, Nevada, Washington, and Wyoming.
Date: 2004
Sponsoring organization: Federal Office of Rural Health Policy
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Grantee Sustainability in the Rural Health Outreach Grant Program
Describes a study of the post-grant experiences of 99 Rural Health Outreach Grant recipients. Focuses on the extent to which programs were able to maintain or expand services after their grants ended and characteristics that helped programs succeed in the post-grant period.
Author(s): Walter Gregg, Astrid Knott, Ira Moscovice
Date: 12/2003
Sponsoring organization: University of Minnesota Rural Health Research Center
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Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Text of the legislation that adds a prescription drug benefit to Medicare and enhances some rural healthcare programs, such as the Critical Access Hospitals program.
Date: 11/2003
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Rural-Urban Issues in the Wage Index Adjustment for Prospective Payment in Skilled Nursing Facilities
Discusses the use of the hospital wage index for the skilled nursing facility prospective payment system (SNF PPS) and how a change to an SNF wage index would impact rural and urban skilled nursing facilities. Also identifies some related issues that impact reimbursement to SNFs in both urban and rural areas.
Additional links: Findings Brief, January 2004
Author(s): Kathleen Dalton, Rebecca Slifkin
Date: 11/2003
Sponsoring organization: North Carolina Rural Health Research Program
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Are There Geographic Disparities in Out-of-Pocket Spending by Medicare Beneficiaries?
Describes a study comparing out-of-pocket spending among rural and urban Medicare recipients. Includes data on differences based on supplemental insurance coverage.
Author(s): Tiffany A. Radcliff, Gestur Davidson, Aram Dobalian,
Date: 10/2003
Sponsoring organization: University of Minnesota Rural Health Research Center
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Health Insurance Coverage of the Rural and Urban Near Elderly
Results of a study of health insurance coverage of those between 55 and 64 years old. Includes data for rural and urban near elderly. Covers sources of health insurance coverage and rates of uninsurance.
Author(s): Erika C. Ziller, Andrew F. Coburn
Date: 10/2003
Sponsoring organization: Maine Rural Health Research Center
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Information Technology: Benefits Realized for Selected Health Care Functions
Describes cost savings and other benefits of information technology use in health care, including clinical care and administrative applications. Discusses examples from hospitals serving rural areas. Also includes examples of IT use by insurers for improved claims processing and customer service.
Additional links: Full Report
Date: 10/2003
Sponsoring organization: Government Accountability Office
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Physician Workforce: Supply Increased in Metropolitan and Nonmetropolitan Areas but Geographic Disparities Persisted
Describes the change in supply of physicians from 1991 to 2001. Includes data nationally and by state on physicians in nonmetropolitan areas and on the number of specialists versus generalists. Includes a list of Health Resources and Services Administration programs that address the supply and distribution of health professionals, with 1991 and 2001 expenditures for each program.
Additional links: Full Report
Date: 10/2003
Sponsoring organization: Government Accountability Office
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National Advisory Committee on Rural Health and Human Services Meeting Minutes, Charleston, West Virginia, September 7-9, 2003
Minutes for a September 2003 meeting of the National Advisory Committee on Rural Health and Human Services in Charleston, West Virginia. Topics addressed include health professions education, mental health integration, oral health, and senior services.
Date: 09/2003
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Health Insurance Coverage in Rural America: Chartbook
Information on rural-urban differences in health insurance coverage and differences in socio-economic and employment characteristics of those living in rural versus urban counties.
Additional links: The Uninsured in Rural America Fact Sheet
Author(s): Erika C. Ziller, Andrew F. Coburn, Stephenie L. Loux, Catherine Hoffman, Timothy D. McBride
Date: 09/2003
Sponsoring organization: KFF
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