Rural Health
Resources by Topic: Health insurance
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
Type: Document
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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
Type: Document
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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
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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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
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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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
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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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
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Medicare Physician Payment: Practice Expense
Describes the variation in Medicare payment for practice expense using the Geographic Practice Cost Indexes (GPCIs). Explains the factors that are used to calculate GPCIs and lists the 2003 GPCIs. Discusses potential impact of lower Medicare reimbursement to rural physicians for practice expense.
Author(s): A. Clinton MacKinney, Timothy D. McBride, Michael D. Shambaugh-Miller, Keith J. Mueller
Citation: RUPRI Rural Policy Brief, 8(9)
Date: 10/2003
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the variation in Medicare payment for practice expense using the Geographic Practice Cost Indexes (GPCIs). Explains the factors that are used to calculate GPCIs and lists the 2003 GPCIs. Discusses potential impact of lower Medicare reimbursement to rural physicians for practice expense.
Author(s): A. Clinton MacKinney, Timothy D. McBride, Michael D. Shambaugh-Miller, Keith J. Mueller
Citation: RUPRI Rural Policy Brief, 8(9)
Date: 10/2003
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Availability and Use of Health Plan Choices in Rural America: Medicare+Choice, Commercial HMO, and Federal Employees Health Benefit Program Plans
Discusses availability of Medicare+Choice (M+C), commercial HMO, and Federal Employee Health Benefit Program (FEHBP) insurance plans, and the potential impact of M+C service delivery area changes on healthcare access in rural areas.
Author(s): Timothy McBride, Courtney Andrews, Keith Mueller, Michael Shambaugh-Miller
Date: 10/2003
Type: Document
Sponsoring organizations: RUPRI Center for Rural Health Policy Analysis, Rural Policy Research Institute
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Discusses availability of Medicare+Choice (M+C), commercial HMO, and Federal Employee Health Benefit Program (FEHBP) insurance plans, and the potential impact of M+C service delivery area changes on healthcare access in rural areas.
Author(s): Timothy McBride, Courtney Andrews, Keith Mueller, Michael Shambaugh-Miller
Date: 10/2003
Type: Document
Sponsoring organizations: RUPRI Center for Rural Health Policy Analysis, Rural Policy Research Institute
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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
Type: Document
Sponsoring organization: KFF
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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
Type: Document
Sponsoring organization: KFF
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Ambulance Services: Medicare Payments Can be Better Targeted to Trips in Less Densely Populated Rural Areas
Covers factors that affect ambulance costs per trip, how these factors vary across geographic areas, and how well Medicare payments account for geographic cost differences.
Additional links: Full Report
Date: 09/2003
Type: Document
Sponsoring organization: Government Accountability Office
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Covers factors that affect ambulance costs per trip, how these factors vary across geographic areas, and how well Medicare payments account for geographic cost differences.
Additional links: Full Report
Date: 09/2003
Type: Document
Sponsoring organization: Government Accountability Office
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Impact of The Medicaid Budgetary Crisis on Rural Communities
Provides an overview of options states have to reduce Medicaid program costs, potential impact of these changes on rural areas, and potential impact of proposed federal changes to Medicaid for rural areas.
Author(s): Pam Silberman, Matthew Rudolf, Cammie D'Alpe, Randy Randolph, Rebecca Slifkin
Date: 08/2003
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Provides an overview of options states have to reduce Medicaid program costs, potential impact of these changes on rural areas, and potential impact of proposed federal changes to Medicaid for rural areas.
Author(s): Pam Silberman, Matthew Rudolf, Cammie D'Alpe, Randy Randolph, Rebecca Slifkin
Date: 08/2003
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Enrollment in FEHBP Plans in Rural America: What are the Implications for Medicare Reform?
Discusses how the Federal Employees Health Benefits Program (FEHBP) functions in rural areas. FEHBP is being considered as a model for how private plans could be incorporated into the Medicare program and how an outpatient prescription drug benefit could be added.
Additional links: State-by-State FEHBP Enrollment Analysis, State-by-State FEHBP Enrollment Analysis, by County and Plan
Author(s): Timothy McBride, Keith Mueller, Courtney Andrews, Liyan Xu, Roslyn Fraser
Citation: RUPRI Rural Policy Brief, 8(8)
Date: 06/2003
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Discusses how the Federal Employees Health Benefits Program (FEHBP) functions in rural areas. FEHBP is being considered as a model for how private plans could be incorporated into the Medicare program and how an outpatient prescription drug benefit could be added.
Additional links: State-by-State FEHBP Enrollment Analysis, State-by-State FEHBP Enrollment Analysis, by County and Plan
Author(s): Timothy McBride, Keith Mueller, Courtney Andrews, Liyan Xu, Roslyn Fraser
Citation: RUPRI Rural Policy Brief, 8(8)
Date: 06/2003
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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MedPAC Report to the Congress: Variation and Innovation in Medicare
Analyzes variation within the Medicare program and explores a variety of possible payment innovations. Includes some rural-specific information. Geographic, market, quality, hospital financial performance, and use of physician services variations are covered. Also examines Medicare's reimbursement for Part B drugs. Recommendations include quality incentives and competitive pricing.
Date: 06/2003
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Analyzes variation within the Medicare program and explores a variety of possible payment innovations. Includes some rural-specific information. Geographic, market, quality, hospital financial performance, and use of physician services variations are covered. Also examines Medicare's reimbursement for Part B drugs. Recommendations include quality incentives and competitive pricing.
Date: 06/2003
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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