Rural Health
Resources by Topic: Critical Access Hospitals
Medicare Program: Changes to the Hospital Outpatient Prospective Payment System, Ambulatory Surgical Center System, Graduate Medical Education and Critical Access Hospital; Interim and Final Rule with Comment Period
Addresses changes to the Hospital Outpatient Prospective Payment System (OPPS) and CY 2008 Payment Rates, the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates, the Hospital Inpatient Prospective Payment System (IPPS) and FY 2008 Payment Rates. Describes changes relating to the necessary provider designations of Critical Access Hospitals (CAHs) and to the conditions of participation requirements. Also addresses changes to graduate medical education (GME) payments made to teaching hospitals that have Medicare affiliation agreements for certain emergency situations.
Citation: Federal Register, 72(227), 66579-67226
Date: 11/2007
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Addresses changes to the Hospital Outpatient Prospective Payment System (OPPS) and CY 2008 Payment Rates, the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates, the Hospital Inpatient Prospective Payment System (IPPS) and FY 2008 Payment Rates. Describes changes relating to the necessary provider designations of Critical Access Hospitals (CAHs) and to the conditions of participation requirements. Also addresses changes to graduate medical education (GME) payments made to teaching hospitals that have Medicare affiliation agreements for certain emergency situations.
Citation: Federal Register, 72(227), 66579-67226
Date: 11/2007
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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State Initiatives Funded by the Medicare Rural Hospital Flexibility Grant Program
Explores activities funded by the Medicare Rural Hospital Flexibility Program (Flex Program) in the previous two years to strengthen the rural health care infrastructure. Discusses which activities were considered most successful by State Flex Coordinators.
Additional links: Policy Brief, December 2007
Author(s): John Gale, Jennifer Lenardson, Walt Gregg, et al.
Date: 10/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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Explores activities funded by the Medicare Rural Hospital Flexibility Program (Flex Program) in the previous two years to strengthen the rural health care infrastructure. Discusses which activities were considered most successful by State Flex Coordinators.
Additional links: Policy Brief, December 2007
Author(s): John Gale, Jennifer Lenardson, Walt Gregg, et al.
Date: 10/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospitals (CAHs): Distance from Other Providers and Relocation of CAHs with a Necessary Provider Designation
September 7, 2007, letter from CMS to State Survey Agency Directors. Explains the criteria to determine whether a Critical Access Hospital (CAH) applicant satisfies the regulatory requirement. Explains the criteria to determine whether a CAH with a necessary provider designation remains essentially the same provider, serving the same service area after relocation. Supersedes the November 14, 2005, guidance on this topic.
Date: 09/2007
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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September 7, 2007, letter from CMS to State Survey Agency Directors. Explains the criteria to determine whether a Critical Access Hospital (CAH) applicant satisfies the regulatory requirement. Explains the criteria to determine whether a CAH with a necessary provider designation remains essentially the same provider, serving the same service area after relocation. Supersedes the November 14, 2005, guidance on this topic.
Date: 09/2007
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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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
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Critical Access Hospital Year 2 Hospital Compare Participation and Quality Measure Results
Examines the second year participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database for hospital quality measures.
Additional links: Policy Brief, May 2007
Author(s): Michelle Casey, Michele Burlew, Ira Moscovice
Date: 04/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines the second year participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database for hospital quality measures.
Additional links: Policy Brief, May 2007
Author(s): Michelle Casey, Michele Burlew, Ira Moscovice
Date: 04/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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Small, Stand-Alone, and Struggling: The Adoption of Health Information Technology by Rural Hospitals
Reports findings from a national survey of rural hospitals designed to investigate how differences among the hospitals affect their implementation of health IT.
Author(s): Julie A. Schoenman
Date: 04/2007
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Reports findings from a national survey of rural hospitals designed to investigate how differences among the hospitals affect their implementation of health IT.
Author(s): Julie A. Schoenman
Date: 04/2007
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Rural Hospital Emergency Department Quality Measures: Aggregate Data Report
Reports findings from a project that tested emergency department quality measures in a voluntary sample of Critical Access Hospitals (CAHs) in Washington State.
Author(s): Jill Klingner, Ira Moscovice
Date: 03/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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Reports findings from a project that tested emergency department quality measures in a voluntary sample of Critical Access Hospitals (CAHs) in Washington State.
Author(s): Jill Klingner, Ira Moscovice
Date: 03/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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Exploring the Community Impact of Critical Access Hospitals
Reports on a series of site visits to six diverse rural communities and Critical Access Hospitals (CAHs) to assess the experiences and impact of these hospitals in responding to their community's health infrastructure needs.
Additional links: Policy Brief: The Community Impact of Critical Access Hospitals, February 2007
Author(s): John Gale, Andrew Coburn, Walt Gregg, Rebecca Slifkin, Victoria Freeman
Date: 01/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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Reports on a series of site visits to six diverse rural communities and Critical Access Hospitals (CAHs) to assess the experiences and impact of these hospitals in responding to their community's health infrastructure needs.
Additional links: Policy Brief: The Community Impact of Critical Access Hospitals, February 2007
Author(s): John Gale, Andrew Coburn, Walt Gregg, Rebecca Slifkin, Victoria Freeman
Date: 01/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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MedPAC Report to the Congress: Rural Payment Provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Examines the impact of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) provisions on rural hospital payments. Present the effect of eight MMA provisions on Medicare inpatient and outpatient payments to traditional (non-CAH) hospitals. Summarizes the MMA changes to Critical Access Hospital (CAH) payment policies discussed in MedPAC's interim report. Examines the effects of higher payments on hospital costs.
Date: 12/2006
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Examines the impact of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) provisions on rural hospital payments. Present the effect of eight MMA provisions on Medicare inpatient and outpatient payments to traditional (non-CAH) hospitals. Summarizes the MMA changes to Critical Access Hospital (CAH) payment policies discussed in MedPAC's interim report. Examines the effects of higher payments on hospital costs.
Date: 12/2006
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Impact of Conversion to Critical Access Hospital Status on Hospital Financial Performance and Condition
Policy brief analyzing financial ratios associated with Critical Access Hospitals' profitability, liquidity, and capital structure.
Author(s): Mark Holmes, George H. Pink, Rebecca T. Slifkin
Date: 11/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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Policy brief analyzing financial ratios associated with Critical Access Hospitals' profitability, liquidity, and capital structure.
Author(s): Mark Holmes, George H. Pink, Rebecca T. Slifkin
Date: 11/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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