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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

2015: Rural Medicare Advantage Enrollment Update
Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans and other prepaid enrollment plans. Compares national and rural MA enrollment, and variability by state.
Author(s): Chance Finegan, Fred Ullrich, Keith Mueller
Date: 07/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural Enrollment in Health Insurance Marketplaces
Analyzes Health Insurance Marketplace enrollment data for 2015 by geographic categories, population density, premium, and firm participation. Compares enrollment between rural and urban areas and includes a map showing enrollment rates by geographic area.
Author(s): Abigail R. Barker, Timothy D. McBride, Leah M. Kemper, Keith J. Mueller
Date: 07/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Teaching Hospitals: Preparing Tomorrow's Physicians Today
An overview of the value teaching hospitals bring in rural and urban areas, serving as training centers to prepare physicians in clinical settings, provide specialty training and specialty services, engage in research and innovation, and prepare healthcare professionals to adapt to changes in the healthcare environment. Discusses the federal (Medicare and Medicaid) financial support mechanisms teaching hospitals receive and the impact this support has on the increased cost of clinical training of new physicians.
Date: 06/2015
Type: Document
Sponsoring organization: American Hospital Association
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2015
Includes chapters on coordinating Medicare policy across payment models, Part B drug payment policy, value-based incentives for managing Part B drug use, multiple drug use including opioids among Medicare Part D enrollees, hospital short-stays, and new methods of measuring quality of care. Rural hospitals, rural referral centers, and rural patient populations are discussed throughout this report.
Date: 06/2015
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Charity Care and Uncompensated Care Activities of Tax-Exempt Critical Access Hospitals
Analyzes charity care, uncompensated care, and bad debt activities of Critical Access Hospitals (CAHs) compared with other rural non-CAH and urban hospitals. Discusses the implications of ACA-mandated hospital financial assistance, emergency care, and billing and collection policies for CAHs.
Additional links: Policy Brief
Author(s): John Gale, Jamar Croom, Zachariah Croll, Andrew Coburn
Date: 06/2015
Type: Document
Sponsoring organization: Flex Monitoring Team
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Rural Women Delivering Babies in Non-Local Hospitals: Differences by Rurality and Insurance Status
Describes the factors, including health insurance status and degree of rurality, that influence rural pregnant women to give birth in non-local hospitals.
Author(s): Katy Kozhimannil, Michelle Casey, Peiyin Hung, Shailendra Prasad, Ira Moscovice
Date: 06/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Characteristics of Children in Medicaid Managed Care and Medicaid Fee-for-service, 2003-2005
Examines how children enrolled in Medicaid fee-for-service programs compare to those in comprehensive managed care programs. Includes information on sociodemographic, health, and geographic characteristics. Table 5 provides figures by type of Medicaid program for urban and rural enrollees.
Author(s): Patricia C. Lloyd, Alan E. Simon, Jennifer D. Parker
Date: 06/2015
Type: Document
Sponsoring organization: National Center for Health Statistics
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Cost Effectiveness of On-site versus Off-site Depression Collaborative Care in Rural Federally Qualified Health Centers
Highlights a study on the cost-effectiveness of on-site versus a telehealth-based collaborative care when treating depression in a rural Federally Qualified Health Center (FQHC). Considers variable, fixed, inpatient, and outpatient costs, among others.
Author(s): Jeffrey M. Pyne, John C. Fortney, Sip Mouden, et al.
Citation: Psychiatric Services, 66(5), 491-499
Date: 05/2015
Type: Document
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Realizing the Promise of Telehealth: Understanding the Legal and Regulatory Challenges
Describes federal and state compliance issues and regulatory challenges specific to the implementation of telehealth technologies in hospitals, healthcare systems, and with providers, and how they will affect telehealth services, particularly in rural healthcare facilities. Includes discussion on coverage and payment including Medicare and Medicaid, health professional licensure and credentialing, online prescribing, patient privacy, fraud, and medical malpractice and professional liability insurance.
Date: 05/2015
Type: Document
Sponsoring organization: American Hospital Association
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Dynamics of Economic Well-Being: Participation in Government Programs, 2009-2012: Who Gets Assistance?
Provides information on the characteristics and participation rates of people receiving benefits from Medicaid, the Supplemental Nutrition Assistance Program (SNAP), housing assistance, Supplemental Security Income (SSI), Temporary Assistance for Needy Families (TANF), and general assistance. Tables in the appendices include metropolitan and non-metropolitan participation rates by program.
Author(s): Shelley K. Irving, Tracy A. Loveless
Date: 05/2015
Type: Document
Sponsoring organization: U.S. Census Bureau
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