Rural Health
Resources by Type: Document
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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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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The Financial Viability of Rural Hospitals in a Post-BBA Environment
Evaluated the financial viability of rural hospitals under the Balanced Budget Act of 1997 (BBA) and the Balanced Budget Refinement Act of 1999 (BBRA) Medicare payment policies. Estimated the number of hospitals that would become Critical Access Hospitals (CAHs) and estimated the number of beds at each hospital.
Author(s): Jeffrey Stensland, Ira Moscovice, Jon Christianson
Date: 10/2000
Sponsoring organization: University of Minnesota Rural Health Research Center
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Evaluated the financial viability of rural hospitals under the Balanced Budget Act of 1997 (BBA) and the Balanced Budget Refinement Act of 1999 (BBRA) Medicare payment policies. Estimated the number of hospitals that would become Critical Access Hospitals (CAHs) and estimated the number of beds at each hospital.
Author(s): Jeffrey Stensland, Ira Moscovice, Jon Christianson
Date: 10/2000
Sponsoring organization: University of Minnesota Rural Health Research Center
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Update on the Physician Workforce
Compendium of three policy papers on the physician workforce, two of which address rural issues. The first paper provides data on the supply and distribution of physicians, including rural-specific national data, with state-by-state data in Appendix B. The second paper focuses on the rural family physician workforce, with supply projections through 2020.
Date: 08/2000
Sponsoring organization: Council on Graduate Medical Education
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Compendium of three policy papers on the physician workforce, two of which address rural issues. The first paper provides data on the supply and distribution of physicians, including rural-specific national data, with state-by-state data in Appendix B. The second paper focuses on the rural family physician workforce, with supply projections through 2020.
Date: 08/2000
Sponsoring organization: Council on Graduate Medical Education
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Redesigning the Medicare Program: An Opportunity to Improve Rural Health Care Systems?
Presents a framework for use by those interested in the future of healthcare services in rural areas, to help to shape proposals to redesign the Medicare program. Identifies rural principles that should guide any Medicare redesign effort.
Author(s): Andrew F. Coburn, Charles W. Fluharty, J. Patrick Hart, et al.
Date: 08/2000
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Presents a framework for use by those interested in the future of healthcare services in rural areas, to help to shape proposals to redesign the Medicare program. Identifies rural principles that should guide any Medicare redesign effort.
Author(s): Andrew F. Coburn, Charles W. Fluharty, J. Patrick Hart, et al.
Date: 08/2000
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Hospital Closure: 1998
Describes the extent, characteristics of, reasons for, and impact of hospital closures in 1998. Includes information specific to rural hospital closures. Lists closed hospitals by name, state, and rural/urban status.
Date: 07/2000
Sponsoring organization: Office of Inspector General (HHS)
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Describes the extent, characteristics of, reasons for, and impact of hospital closures in 1998. Includes information specific to rural hospital closures. Lists closed hospitals by name, state, and rural/urban status.
Date: 07/2000
Sponsoring organization: Office of Inspector General (HHS)
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Emergency Medical Services Education Agenda for the Future: A Systems Approach
Shares a vision for an emergency medical services (EMS) education system that emphasizes the integration of EMS within the overall healthcare system. Discusses a systems approach to EMS education to enhance consistency of instructional quality. Identifies limitations of EMS education and proposed solutions.
Date: 06/2000
Sponsoring organization: National Highway Traffic Safety Administration
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Shares a vision for an emergency medical services (EMS) education system that emphasizes the integration of EMS within the overall healthcare system. Discusses a systems approach to EMS education to enhance consistency of instructional quality. Identifies limitations of EMS education and proposed solutions.
Date: 06/2000
Sponsoring organization: National Highway Traffic Safety Administration
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Why Do Rural Primary-Care Physicians Sell Their Practices?
Evaluated why rural primary care physicians sold their practices, based on a survey in 5 states that looked at changes of ownership during the period from 1995 to 1998. Examined the factors that led independent physicians to sell their practices to either non-local buyers, local hospitals, or local physicians.
Author(s): Jeffrey Stensland, Michelle Brasure, Ira Moscovice
Date: 06/2000
Sponsoring organization: University of Minnesota Rural Health Research Center
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Evaluated why rural primary care physicians sold their practices, based on a survey in 5 states that looked at changes of ownership during the period from 1995 to 1998. Examined the factors that led independent physicians to sell their practices to either non-local buyers, local hospitals, or local physicians.
Author(s): Jeffrey Stensland, Michelle Brasure, Ira Moscovice
Date: 06/2000
Sponsoring organization: University of Minnesota Rural Health Research Center
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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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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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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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Race and Place: Urban-Rural Differences in Health for Racial and Ethnic Minorities
Investigates urban-rural disparities for racial and ethnic minorities in six health areas: infant mortality, cancer screening and management, cardiovascular disease, diabetes, HIV infection, and child and adult immunizations. Provides data for the years 1991-1995.
Author(s): Rebecca T. Slifkin, Laurie J. Goldsmith, Thomas C. Ricketts,
Date: 03/2000
Sponsoring organization: North Carolina Rural Health Research Program
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Investigates urban-rural disparities for racial and ethnic minorities in six health areas: infant mortality, cancer screening and management, cardiovascular disease, diabetes, HIV infection, and child and adult immunizations. Provides data for the years 1991-1995.
Author(s): Rebecca T. Slifkin, Laurie J. Goldsmith, Thomas C. Ricketts,
Date: 03/2000
Sponsoring organization: North Carolina Rural Health Research Program
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