Rural Health
Resources by Topic: Healthcare business and finance
Assessing the Impact of Rural Provider Service Mix on the Primary Care Incentive Payment Program
Examines calendar year 2009 Medicare claims data to assess the impact of rural providers' service mix on Primary Care Incentive Payment Program (PCIP) qualifications and payments. Also estimates the financial impact of PCIP payments on rural providers, and evaluates whether the PCIP is fairly applied to rural and urban providers, whose service mixes are likely to differ. The PCIP program lasted from 2011-2015.
Author(s): Dan Shane, A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller, Paula Weigel
Date: 12/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines calendar year 2009 Medicare claims data to assess the impact of rural providers' service mix on Primary Care Incentive Payment Program (PCIP) qualifications and payments. Also estimates the financial impact of PCIP payments on rural providers, and evaluates whether the PCIP is fairly applied to rural and urban providers, whose service mixes are likely to differ. The PCIP program lasted from 2011-2015.
Author(s): Dan Shane, A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller, Paula Weigel
Date: 12/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Change in Profitability and Financial Distress of Critical Access Hospitals from Loss of Cost-Based Reimbursement
Examines how proposed changes to Critical Access Hospital (CAH) cost-based reimbursement would affect the financial vulnerability of CAHs. Uses models to forecast the financial impact of 20 and 30 percent reductions in Medicare revenue, and the resulting implications for rural healthcare access.
Author(s): Mark Holmes, George H. Pink
Date: 12/2013
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Examines how proposed changes to Critical Access Hospital (CAH) cost-based reimbursement would affect the financial vulnerability of CAHs. Uses models to forecast the financial impact of 20 and 30 percent reductions in Medicare revenue, and the resulting implications for rural healthcare access.
Author(s): Mark Holmes, George H. Pink
Date: 12/2013
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Implications for Beneficiary Travel Time if Financially-Vulnerable Critical Access Hospitals Close
Examines potential increases in beneficiary travel times and distances if financially-vulnerable Critical Access Hospitals (CAHs) close. Analysis is based on a review of 93 CAHs identified as financially-vulnerable and likely to close if reimbursement methods or eligibility requirements change.
Author(s): Victoria A. Freeman, Randy K. Randolph, George Pink, Mark Holmes
Date: 12/2013
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Examines potential increases in beneficiary travel times and distances if financially-vulnerable Critical Access Hospitals (CAHs) close. Analysis is based on a review of 93 CAHs identified as financially-vulnerable and likely to close if reimbursement methods or eligibility requirements change.
Author(s): Victoria A. Freeman, Randy K. Randolph, George Pink, Mark Holmes
Date: 12/2013
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Helping Primary Care Practices Attain Patient-Centered Medical Home (PCMH) Recognition Through Collaboration With a University
Evaluates a model supporting rural primary care practices during their development to achieve recognition as a National Center for Quality Assurance patient-centered medical home (PCMH). This model was a collaboration between Community Care of North Carolina and Appalachian State University's College of Health Sciences where undergraduate healthcare management and preprofessional students were guided by the PCMH team to work directly with the practices.
Author(s): Sandi J. Lane, R.W. "Chip" Watkins
Citation: Journal of the American Board of Family Medicine, 26(6), 784-786
Date: 11/2013
Type: Document
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Evaluates a model supporting rural primary care practices during their development to achieve recognition as a National Center for Quality Assurance patient-centered medical home (PCMH). This model was a collaboration between Community Care of North Carolina and Appalachian State University's College of Health Sciences where undergraduate healthcare management and preprofessional students were guided by the PCMH team to work directly with the practices.
Author(s): Sandi J. Lane, R.W. "Chip" Watkins
Citation: Journal of the American Board of Family Medicine, 26(6), 784-786
Date: 11/2013
Type: Document
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CDC Health Disparities and Inequalities Report - United States, 2013
Addresses the differences in mortality and disease risk factors related to behaviors, access to healthcare, and social determinants of health in both rural and urban settings.
Citation: MMWR (Morbidity and Mortality Weekly Report), 62(3)
Date: 11/2013
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Addresses the differences in mortality and disease risk factors related to behaviors, access to healthcare, and social determinants of health in both rural and urban settings.
Citation: MMWR (Morbidity and Mortality Weekly Report), 62(3)
Date: 11/2013
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Demographic and Economic Characteristics Associated with Sole County Pharmacy Closures, 2006-2010
Describes demographic and economic characteristics associated with counties experiencing closure of their sole pharmacy which results in patients having reduced access to key health services like drug dispensing, immunizations, patient assessments, and medication therapy management services.
Author(s): Paula Weigel, Fred Ullrich, Keith Mueller
Date: 11/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes demographic and economic characteristics associated with counties experiencing closure of their sole pharmacy which results in patients having reduced access to key health services like drug dispensing, immunizations, patient assessments, and medication therapy management services.
Author(s): Paula Weigel, Fred Ullrich, Keith Mueller
Date: 11/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Geography and the Medicaid Mental Health Care Infrastructure: Implications for Health Care Reform
Examines the availability of outpatient mental health facilities that accept Medicaid across U.S. counties and whether specific population groups such as minorities, people living in poverty, and rural residents may be less likely to access these facilities.
Author(s): Janet R. Cummings, Hefei Wen, Michelle Ko, Benjamin G. Druss
Citation: JAMA Psychiatry, 70(10), 1084-1090
Date: 10/2013
Type: Document
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Examines the availability of outpatient mental health facilities that accept Medicaid across U.S. counties and whether specific population groups such as minorities, people living in poverty, and rural residents may be less likely to access these facilities.
Author(s): Janet R. Cummings, Hefei Wen, Michelle Ko, Benjamin G. Druss
Citation: JAMA Psychiatry, 70(10), 1084-1090
Date: 10/2013
Type: Document
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Trends in Rural Health Clinics and Needs During U.S. Health Care Reform
Describes the changes that have occurred in Rural Health Clinics (RHCs) and the characteristics that have remained the same from the late 1990s to 2007. Identifies some of the needs of RHCs as they transition through healthcare reform.
Author(s): Judith Ortiz, Natthani Meemon, Yue Zhou, Thomas T.H. Wan
Citation: Primary Health Care Research & Development, 14(4), 360-366
Date: 10/2013
Type: Document
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Describes the changes that have occurred in Rural Health Clinics (RHCs) and the characteristics that have remained the same from the late 1990s to 2007. Identifies some of the needs of RHCs as they transition through healthcare reform.
Author(s): Judith Ortiz, Natthani Meemon, Yue Zhou, Thomas T.H. Wan
Citation: Primary Health Care Research & Development, 14(4), 360-366
Date: 10/2013
Type: Document
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Impact of Rural Residence on Forgoing Healthcare after Cancer Because of Cost
Discusses the rural-urban disparities when rural patients who are cancer survivors forgo healthcare because of the cost.
Author(s): Nynikka R.A. Palmer, Ann M. Geiger, Lingyi Lu, L. Douglas Case, Kathryn E. Weaver
Citation: Cancer Epidemiology, Biomarkers & Prevention, 22(10), 1668-1676
Date: 10/2013
Type: Document
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Discusses the rural-urban disparities when rural patients who are cancer survivors forgo healthcare because of the cost.
Author(s): Nynikka R.A. Palmer, Ann M. Geiger, Lingyi Lu, L. Douglas Case, Kathryn E. Weaver
Citation: Cancer Epidemiology, Biomarkers & Prevention, 22(10), 1668-1676
Date: 10/2013
Type: Document
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Dental Services: Information on Coverage, Payments, and Fee Variation
Describes trends in dental services coverage and payments, and the extent of variation in dental fees in selected communities. Appendix II includes statistics comparing dental visit rates in urban and rural areas.
Additional links: Full Report
Date: 09/2013
Type: Document
Sponsoring organization: Government Accountability Office
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Describes trends in dental services coverage and payments, and the extent of variation in dental fees in selected communities. Appendix II includes statistics comparing dental visit rates in urban and rural areas.
Additional links: Full Report
Date: 09/2013
Type: Document
Sponsoring organization: Government Accountability Office
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