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Rural Health
Resources by Topic: Healthcare business and finance

A Primer on Interpreting Hospital Margins
Explains the most commonly used measures of hospital profitability, and how they are used to inform policy changes. Particular emphasis on the different formulas as they impact rural versus urban hospital figures.
Author(s): Kathleen Dalton, Rebecca Slifkin
Date: 07/2003
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Health Networks: Evolving Organizational Forms and Functions
Discusses results of a survey of rural health networks. Includes information about the location, membership, relationships, governance and management, process and products of rural health networks.
Author(s): Ira Moscovice, Walt Gregg, Eric Lewerenz
Date: 06/2003
Sponsoring organization: University of Minnesota Rural Health Research Center
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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
Sponsoring organization: Medicare Payment Advisory Commission
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Trends in Rural Hospital Closure: 1990 - 2000
Focuses on the extent, characteristics, reasons for and impact of rural hospitals closures from 1990 through 2000. Includes rural hospital closure data by state.
Date: 05/2003
Sponsoring organization: Office of Inspector General (HHS)
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MedPAC Report to the Congress: Medicare Payment Policy, 2003
Report to the Congress. Reviews the Medicare prospective payment systems (PPSs) for seven sectors: hospital inpatient, hospital outpatient, physician, skilled nursing, home health, outpatient dialysis, and ambulatory surgical center services. Also discusses broader issues related to Medicare payments. Includes recommendations. Appendix with data on hospital financial performance for 1991-2000.
Date: 03/2003
Sponsoring organization: Medicare Payment Advisory Commission
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Shared Destiny: Community Effects of Uninsurance
Discusses effects of uninsurance on healthcare financing, delivery and access. Discusses economic and social implications of uninsurance for communities, including information specific to rural communities.
Additional links: Read Online
Author(s): Committee on the Consequences of Uninsurance
Date: 03/2003
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The Financial Effects of Critical Access Hospital Conversion
Describes how the first wave of conversions to Critical Access Hospital (CAH) status affected rural hospitals' financial performance and organizational structure.
Author(s): Jeffrey Stensland, Gestur Davidson, Ira Moscovice
Date: 01/2003
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rate of Return on Capital Investments at Small Rural Hospitals
Discusses whether the aging of rural facilities is due to a lower rate of return on capital investment at small rural hospitals. Also examines the impact of membership in a hospital system on access to capital leading to updated buildings and equipment.
Author(s): Jeffrey Stensland, Astrid Knott, Ira Moscovice, Gestur Davidson
Date: 01/2003
Sponsoring organization: University of Minnesota Rural Health Research Center
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The Characteristics and Roles of Rural Health Clinics in the United States: A Chartbook
Offers a comprehensive picture of the Rural Health Clinic (RHC) program and the operations of RHCs. Covers characteristics of RHCs, staffing and recruitment, location, and more.
Author(s): John A. Gale, Andrew F. Coburn
Date: 01/2003
Sponsoring organization: Maine Rural Health Research Center
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An Assessment of Proposals for a Medicare Outpatient Prescription Drug Benefit: The Rural Perspective
Assesses legislative proposals to add an outpatient prescription drug benefit to the Medicare program and their implications for the delivery of services and the welfare of beneficiaries in rural areas.
Author(s): Andrew F. Coburn, Charles W. Fluharty, J. Patrick Hart, et al.
Date: 01/2003
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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