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Rural Health
Resources by Topic: Healthcare business and finance

Rural Enrollment in Medicare Advantage Is Concentrated in Private Fee-for-Service Plans
Provides rural and urban data on enrollment in Medicare Advantage (MA) and other pre-paid plans by type of plan. Also provides state-level information on MA enrollment.
Author(s): Timothy D. McBride, Tanchica L. Terry, Keith J. Mueller
Date: 04/2007
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Closures of Hospital-Based SNF Units: Insights from Interviews with Administrators, Discharge Planners and Referring Physicians
Reports on interviews with officials at fifteen acute care hospitals with Medicare skilled nursing facilities (SNFs) in 1998, some of which were still open and some of which had closed. Addresses the reasons, and consequences, of hospitals' decisions to close SNF units. The study included hospitals in urban and rural areas.
Author(s): Korbin Liu, Emily Jones, Urban Institute
Date: 03/2007
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Private Plans in Medicare: A 2007 Update
Examines changes between 2006 and 2007 in the availability of and enrollment in Medicare Advantage and Medicare prescription drug plans overall and in urban and rural areas.
Author(s): Marsha Gold
Date: 03/2007
Type: Document
Sponsoring organization: KFF
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MedPAC Report to the Congress: Medicare Payment Policy, 2007
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2007
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Hospital Size, Uncertainty and Pay-for-Performance
Describes the Hospital Quality Incentive Demonstration (HQID). Describes methods to factor hospital size into appropriately ranking pay-for-performance results. Discusses policy implications of including small, rural hospitals in pay-for-performance programs that use ranking to identify quality.
Additional links: Policy Brief: Does Hospital Size Affect Our Ability to Accurately Identify High Quality Care in Pay-for-Performance Programs?, May 2007
Author(s): Gestur Davidson, Ira Moscovice, Denise Remus
Date: 02/2007
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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The 2007 Report to the Secretary: Rural Health and Human Service Issues
Report to the Secretary of the U.S. Department of Health and Human Services. Examines three key topics in health and human services and their effects in rural areas: Medicare Advantage, Head Start, and substance abuse. Includes recommendations to address these topics.
Date: 01/2007
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Enrollment in Medicare Part D for Rural Beneficiaries Is Encouraging
Provides findings about Medicare beneficiary enrollment in prescription drug plans (PDPs) in rural and urban areas across the United States.
Author(s): Timothy D. McBride, Tanchica L. Terry, Keith J. Mueller
Citation: RUPRI Rural Policy Brief, 12(1)
Date: 01/2007
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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State Updates on Medicare Advantage Enrollment
State-by-state reports on Medical Advantage (MA) and prepaid plan enrollment in December 2005 and September 2007. Includes information on overall and rural enrollment.
Date: 2007
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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MedPAC Report to the Congress: Rural Payment Provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Examines the impact of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) provisions on rural hospital payments. Present the effect of eight MMA provisions on Medicare inpatient and outpatient payments to traditional (non-CAH) hospitals. Summarizes the MMA changes to Critical Access Hospital (CAH) payment policies discussed in MedPAC's interim report. Examines the effects of higher payments on hospital costs.
Date: 12/2006
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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The Experience of Sole Community Rural Independent Pharmacies with Medicare Part D: Reports from the Field
Examines unintended impacts of the Medicare Part D program on independent pharmacies in rural areas. Discusses options to address the challenges faced by rural independent pharmacies that are the sole providers in their communities.
Author(s): Andrea Radford, Rebecca Slifkin, Roslyn Fraser, Michelle Mason, Keith Mueller
Date: 11/2006
Type: Document
Sponsoring organizations: North Carolina Rural Health Research Program, RUPRI Center for Rural Health Policy Analysis
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