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Resources by Topic: Health insurance

States' Use of Cost-Based Reimbursement for Medicaid Services at Critical Access Hospitals
Explains cost-based reimbursement for Critical Access Hospitals (CAHs). Documents which of the 45 states with CAHs utilize a cost-based reimbursement methodology for Medicaid.
Author(s): Andrea Radford, Mike Hamon, Caitlin Nelligan
Date: 04/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Alternatives to the Outpatient Prospective Payment System: Assessing the Impact on Rural Hospitals
Explores alternatives to Medicare's Outpatient Prospective Payment System and how these options would affect rural hospitals.
Author(s): Janet Pagan-Sutton, Claudia Schur, Katie Merrell
Date: 04/2010
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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The Effect of Medicare Part D Plan Switching and Formulary Changes on Sole Community Pharmacies and the Patients They Serve
Presents findings from a survey of sole community independent pharmacies owned by pharmacists. Focuses on the impact of the Medicare Part D program.
Author(s): Michelle Lampman, Andrea Radford, Anh Nguyen
Date: 03/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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MedPAC Report to the Congress: Medicare Payment Policy, 2010
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2010
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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February 2010: A Dramatic Shift Away from Private Fee-for-Service Plans in Rural Medicare Advantage Enrollment
Discusses the decline in private fee-for-service (PFFS) enrollment in rural areas and as a result, Medicare Advantage (MA) enrollment in those areas, excluding other prepaid plans, fell slightly in early 2010 for the first time in years.
Author(s): Leah Kemper, Timothy D. McBride, M. Katherine Stone, Keith Mueller
Date: 03/2010
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Assessment of the Mental Health Funding Marketplace in Rural vs. Urban Settings
Reports on the source of payment for mental health treatment for urban and rural residents. Source of payment is identified as private insurance, public insurance, or self-pay. Seeks to understand rural payer mix and inform future policies and finance-based interventions with the hope of reducing rural/urban mental healthcare disparities.
Additional links: Findings Brief: Assessment of the Mental Health Funding Marketplace in Urban vs. Rural Settings for Individuals with Serious Mental Illness, Summary Report: Assessment of the Mental Health Funding Marketplace in Urban vs. Rural Settings
Author(s): Jeffrey S. Harman, Fran Dong, Stan Xu, Nathan Ewigman, John C. Fortney
Date: 02/2010
Type: Document
Sponsoring organization: WICHE Center for Rural Mental Health Research
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December 2009: Rural Medicare Advantage Enrollment Grows 15% in 2009
Analyzes the growth of rural enrollment in Medicare Advantage (MA) and other prepaid plans from December 2008 to December 2009. Discusses future changes in MA rural enrollment due to a decline in private fee-for-service (PFFS) plan availability starting in 2010.
Author(s): Leah Kemper, Timothy D. McBride, Keith Mueller
Date: 01/2010
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Exploring the Potential for Foreign-Trained Dentists to Address Workforce Shortages and Improve Access to Dental Care for Vulnerable Populations in the United States
Examines the impact of foreign-trained dentists on dental care access in Washington State. Addresses participation in Medicaid and practice in health professional shortage areas in comparison with dentists trained in the United States.
Author(s): Naseem Bazargan, Donald L Chi, Peter Milgrom
Citation: BMC Health Services Research, 10, 336
Date: 2010
Type: Document
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Challenges for Improving Health Care Access in Rural America: A Compendium of Research and Policy Analysis Studies of Rural Health Research and Policy Analysis Centers 2009-2010
A collection of twenty-four research and policy analysis studies on health care access in rural America from the Federal Office of Rural Health Policy Rural Health Research and Policy Analysis Centers. Topics covered include health insurance, access to care, the impact of the economic downturn, health workforce shortages, and health system challenges.
Date: 2010
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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The Potential Impact of Pay-for-Performance on the Financial Health of Critical Access Hospitals
Models the impact of different Medicare pay-for-performance (P4P) incentives on the financial health of Critical Access Hospitals (CAHs) using quality performance measures for pneumonia and heart failure from several data sources.
Additional links: Policy Brief, February 2010
Author(s): Robert Town, Ira Moscovice
Date: 12/2009
Type: Document
Sponsoring organization: Flex Monitoring Team
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