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Rural Health
Resources by Topic: Healthcare facilities

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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Results of the 2004 Health Center Expansion and Recruitment Survey for Health Centers: Analyses for Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI States)
Presents a subset of the findings from the larger national study of Federally Qualified Health Center (FQHC) staffing needs of FQHCs located in Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) overall and by urban and rural geography.
Author(s): C. Holly A. Andrilla, L. Gary Hart
Date: 11/2006
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Impact of Conversion to Critical Access Hospital Status on Hospital Financial Performance and Condition
Policy brief analyzing financial ratios associated with Critical Access Hospitals' profitability, liquidity, and capital structure.
Author(s): Mark Holmes, George H. Pink, Rebecca T. Slifkin
Date: 11/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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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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Health Professional Shortage Areas: Problems Remain With Primary Care Shortage Area Designation System
Reviews the number and location of Health Professional Shortage Areas (HPSAs) and federal programs that use HPSA designations to allocate resources or provide benefits. Discusses available research on HPSA designation criteria and methodology. Addresses the impact of a 2002 provision that automatically designates Federally Qualified Health Centers (FQHCs) and certain Rural Health Clinics (RHCs) as facility HPSAs.
Additional links: Full Report
Date: 10/2006
Type: Document
Sponsoring organization: Government Accountability Office
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The Implementation of Pay-For-Performance in Rural Hospitals: Lessons from the Hospital Quality Incentive Demonstration Project
Reports the findings of a national study designed to identify institutional, organizational, and environmental factors that influence the experience of rural hospitals in the Hospital Quality Incentive Demonstration Project.
Author(s): Walter Gregg, Ira Moscovice, Denise Remus
Date: 09/2006
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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A Primer on the Occupational Mix Adjustment to the Medicare Hospital Wage Index
Focuses on the occupational mix adjustment (OMA) to the labor-related share in the hospital inpatient prospective payment system. Explains what the OMA is, why it is needed, and how it has been calculated. Discusses reasons the effect of the OMA has been less than some rural advocates anticipated.
Author(s): Kristin Reiter, Rebecca Slifkin, Mark Holmes
Date: 09/2006
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Quality and Performance Improvement Grant Activities Under the Flex Program
Describes quality and performance improvement activities proposed by states during the 2005 grant year under the Medicare Rural Health Flexibility Program (Flex Program).
Date: 08/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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Comparison of the Rural Health Clinic and Federally Qualified Health Center Programs
Provides a general comparison of the financial components of the Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) programs under Medicare and Medicaid.
Date: 06/2006
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Chronic Disease Management Systems (Registries) in Rural Health Care
Discusses the types of Chronic Disease Management Systems (CDMSs) used by a sample of 14 state organizations and 19 local rural clinics in Maine, Nebraska, New Mexico, South Carolina, Washington, and Wisconsin.
Author(s): Anne Skinner, Roslyn Fraser-Maginn, Keith J. Mueller
Date: 05/2006
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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