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Rural Health
Resources by Topic: Healthcare business and finance

Effects of Uninsurance during the Preceding 10 Years On Health Status among Rural Working Age Adults
Examines the effects of gaps in health insurance coverage on how individuals rate their physical and mental health.
Additional links: Fact Sheet
Date: 2005
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Impact of Medicaid Managed Care, Race/Ethnicity, and Rural/Urban Residence on Potentially Avoidable Maternity Complications: A Five-State Multi-level Analysis
Reports findings from a study that examined pregnancy-related complications using Potentially Avoidable Maternity Complications as an indicator of access. Analyzes pregnancy complication risks among women receiving Medicaid, looking at rural/urban hospital location, race/ethnicity of the mother, and Medicaid managed care (MMC) compared to Medicaid fee-for-service (MFFS).
Additional links: Fact Sheet
Author(s): Sarah B. Laditka, James N. Laditka, Kevin J. Bennett, Janice C. Probst
Date: 12/2004
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Person and Place: The Compounding Effects of Race/Ethnicity and Rurality on Health
Discusses how the research addressing rural Black, Hispanic, and American Indian/Alaska Native populations suggests that disparities in health and in healthcare access found among rural racial/ethnic minority populations are generally more severe than those among urban racial/ethnic minorities.
Author(s): Janice Probst, Charity Moore, Saundra Glover, Michael Samuels
Citation: American Journal of Public Health, 94(10), 1695-1703
Date: 10/2004
Type: Document
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Medicare Hospice Care: Modifications to Payment Methodology May Be Warranted
Discusses proposed adjustments to Medicare payments for hospice services. Includes some information on rural aspects of hospice and Medicare reimbursement.
Additional links: Full Report
Date: 10/2004
Type: Document
Sponsoring organization: Government Accountability Office
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Medicare: Information Needed to Assess Adequacy of Rate-Setting Methodology for Payments for Hospital Outpatient Services
Examines whether the outpatient prospective payment system (OPPS) rate-setting methodology results in payment rates that uniformly reflect hospitals' costs for providing drugs and devices. Includes information specific to rural hospitals and the OPPS.
Additional links: Full Report
Date: 09/2004
Type: Document
Sponsoring organization: Government Accountability Office
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2004 CAH Survey National Data
Presents key results from on a national telephone survey of 500 Critical Access Hospital (CAH) administrators between January and April 2004. Topics addressed include CAH scope of services and any changes in services during the previous two years; organizational relationships and their impact on CAH operations; quality improvement and patient safety activities; and community impact.
Author(s): Michelle Casey, Jill Klingner
Date: 08/2004
Type: Document
Sponsoring organization: Flex Monitoring Team
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Rural Physicians' Acceptance of New Medicare Patients
Describes trends for urban and rural physicians who no longer accept new Medicare patients. Discusses the impact of Medicare payment policy changes on rural physicians' decisions to accept Medicare patients.
Author(s): Keith J. Mueller, A. Clinton MacKinney, Timothy D. McBride, Jane L. Meza, Liyan Xu
Citation: RUPRI Rural Policy Brief, 9(5)
Date: 08/2004
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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A Rural Perspective Regarding Regulations Implementing Titles I and II of the Medicare Prescription Drug, Improvement, and Modernization Act Of 2003 (MMA)
Identifies sections of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) of special concern to rural Medicare beneficiaries, medical care providers, and policymakers. Includes guidance regarding provisions in the Proposed Rule "Establishment of the Medicare Advantage Program," which implements Title II of the MMA, with a focus on its impact on rural health service delivery.
Author(s): Curt Mueller, Keith Mueller, Janet Sutton
Date: 08/2004
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, RUPRI Center for Rural Health Policy Analysis
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Exploring the Impact of Medicare's Post-Acute Care Transfer Payment Policy on Rural Hospitals
Describes a change in Medicare post-acute transfer payment policy and its impact on rural and urban hospitals. Includes data on the financial impact and hospital discharge behavior before and after the change.
Author(s): Julie A. Schoenman
Date: 07/2004
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Rural Implications of Medicare's Post-Acute Care Transfer Payment Policy
Reports results of a study that examines the behavioral and financial impacts of a change in Medicare payment to pay acute-care hospital cases in 10 DRGs as transfers instead of discharges when the patient is discharged to a targeted post-acute care (PAC) provider after a short inpatient stay. Also projects the likely financial impact of extending the policy to cover additional DRGs or discharges to swing beds.
Author(s): Julie A. Schoenman
Date: 06/2004
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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