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Rural Health
Resources by Topic: Health insurance

Trends in Observation Care Among Medicare Fee-for-Service Beneficiaries at Critical Access Hospitals, 2007 – 2009
Highlights a study on the prevalence and duration of observational care in Critical Access Hospitals (CAHs) compared to Prospective Payment System (PPS) hospitals using Medicare claims data from 2007-2009, as well as 2007 American Hospital Association data to identify hospitals as CAHs or PPS hospitals and whether they were in rural or urban areas.
Author(s): Brad Wright, Hye-Young Jung, Zhanlian Feng, Vincent Mor
Citation: Journal of Rural Health, 29(s1), s1-s6
Date: 08/2013
Type: Document
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Provision of Uncompensated Care by Rural Hospitals: A Preliminary Look at Medicare Cost Report Worksheet S-10
Conducts a preliminary assessment of the quality of uncompensated care data included in Medicare Cost Report Worksheet S-10 for rural hospitals and identifies the implications of data quality issues for research and policy decisions. Addresses differences between Critical Access Hospitals and other rural hospitals.
Author(s): Caroline Crews, Kristin L. Reiter, Randy Randolph, G Mark Holmes, George H Pink
Date: 08/2013
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Implications of Changes to the Medicare Hospice Benefit
Policy brief highlights an April 2013 meeting in Grand Junction, Colorado, of the National Advisory Committee on Rural Health and Human Services. Presents the committee's recommendations and analyses of ACA provisions which may have rural implications regarding challenges and innovations in hospice and palliative care in rural and frontier areas.
Date: 08/2013
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Most Critical Access Hospitals Would Not Meet the Location Requirements if Required to Re-Enroll in Medicare
Recommends that CMS seek legislative authority to remove the permanent distance exemption for Critical Access Hospitals (CAHs) that currently have Necessary Provider designations.
Date: 08/2013
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Examination of the Relative Importance of Hospital Employment in Non-Metropolitan Counties Using Location Quotients
Examines hospital employment in rural counties compared to the nation. Draws conclusions regarding how potential changes in Medicare and Medicaid might affect rural populations.
Author(s): Jon Smith
Citation: Rural and Remote Health, 13(3), 2497
Date: 07/2013
Type: Document
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Accountable Care Organizations in Rural America
Examines the prevalence of Medicare Accountable Care Organizations (ACOs) in the U.S. Includes breakdowns by non-metropolitan, metropolitan, and mixed counties, as well as a map of ACO locations.
Additional links: National and Regional Maps
Author(s): A. Clinton MacKinney, Thomas Vaughn, Xi Zhu, Keith J. Mueller, Fred Ullrich
Date: 07/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The Uninsured: An Analysis by Income and Geography
Compares health insurance coverage for rural and urban populations. Examines differences in eligibility for subsidized Health Insurance Marketplace coverage due to income levels and current lack of insurance.
Author(s): Abigail R. Barker, Jessica K. Londeree, Timothy D. McBride, Leah M. Kemper, Keith Mueller
Date: 06/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2013
Includes chapters on Medicare and ambulatory settings, bundling payments for post acute care, hospice, reducing hospital admissions, dual eligible beneficiaries, and Medicare payments for ambulance services, physicians, and outpatient therapy. Mentions rural throughout.
Date: 06/2013
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Telemedical Cervical Cancer Screening to Bridge Medicaid Service Care Gap for Rural Women
Describes how telecolposcopy services can fill a gap in healthcare by increasing access to cervical cancer screenings for rural women in Arkansas. Includes implications for models for improving access to care among vulnerable populations using telemedicine.
Author(s): Wilbur C. Hitt, Gordon Low, Tommy Mac Bird, Rachel Ott
Citation: Telemedicine Journal and e-Health, 19(5), 403-408
Date: 05/2013
Type: Document
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Health, United States, 2012: With Special Feature on Emergency Care
Presents an annual overview of national trends in health statistics. Covers health status and determinants, healthcare utilization, access, and expenditures. Includes data on rural areas - see index under "metropolitan/nonmetropolitan data." 2012 edition includes a special section exploring emergency care in the United States.
Date: 05/2013
Type: Document
Sponsoring organization: National Center for Health Statistics
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