Rural Health
Resources by Topic: Medicare
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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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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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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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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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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Metropolitan Statistical Areas: New Standards and Their Impact on Selected Federal Programs
Describes the Office of Management and Budget's revised standards for defining metropolitan areas, and the impact these changes will have on federally funded programs that use the OMB's definition to determine program eligibility. The programs addressed are the Community Development Block Grant program, Locality Pay Program for General Schedule Employees, Medicare Hospital Reimbursement System and Ryan White CARE Act Program.
Additional links: Full Report
Date: 06/2004
Type: Document
Sponsoring organization: Government Accountability Office
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Describes the Office of Management and Budget's revised standards for defining metropolitan areas, and the impact these changes will have on federally funded programs that use the OMB's definition to determine program eligibility. The programs addressed are the Community Development Block Grant program, Locality Pay Program for General Schedule Employees, Medicare Hospital Reimbursement System and Ryan White CARE Act Program.
Additional links: Full Report
Date: 06/2004
Type: Document
Sponsoring organization: Government Accountability Office
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An Analysis of the Agreement of Financial Data Between the Medicare Cost Report and the Audited Hospital Financial Statement
Describes the results of a study of rural hospital financial measures, comparing Medicare Cost Reports with audited hospital financial statements.
Author(s): Li-Wu Chen, Julie Stoner, Catherine Makhanu, Kathy Minikus, Keith J. Mueller
Date: 05/2004
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the results of a study of rural hospital financial measures, comparing Medicare Cost Reports with audited hospital financial statements.
Author(s): Li-Wu Chen, Julie Stoner, Catherine Makhanu, Kathy Minikus, Keith J. Mueller
Date: 05/2004
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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MedPAC Report to the Congress: Medicare Payment Policy, 2004
Annual review of Medicare payment policies, with recommendations to Congress. Discussion of rural aspects of Medicare payment policies are included throughout the report. Includes discussion of the growth of Medicare spending and quality of care Medicare recipients receive.
Date: 03/2004
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Discussion of rural aspects of Medicare payment policies are included throughout the report. Includes discussion of the growth of Medicare spending and quality of care Medicare recipients receive.
Date: 03/2004
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Home Health: Payments to Freestanding Home Health Agencies More Than Covered Their Costs
Discusses an evaluation of Medicare payments to freestanding home health agencies (HHAs). Includes comparison of Medicare margins for urban and rural HHAs.
Additional links: Full Report
Date: 02/2004
Type: Document
Sponsoring organization: Government Accountability Office
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Discusses an evaluation of Medicare payments to freestanding home health agencies (HHAs). Includes comparison of Medicare margins for urban and rural HHAs.
Additional links: Full Report
Date: 02/2004
Type: Document
Sponsoring organization: Government Accountability Office
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Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (P.L. 108-173): A Summary of Provisions Important to Rural Health Care Delivery
Overview of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (P.L. 108-173) as it relates to rural healthcare. Includes information on how this Act impacts beneficiaries, healthcare access, and payments to rural healthcare providers.
Author(s): Keith J. Mueller
Date: 01/2004
Type: Document
Sponsoring organizations: RUPRI Center for Rural Health Policy Analysis, Rural Policy Research Institute
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Overview of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (P.L. 108-173) as it relates to rural healthcare. Includes information on how this Act impacts beneficiaries, healthcare access, and payments to rural healthcare providers.
Author(s): Keith J. Mueller
Date: 01/2004
Type: Document
Sponsoring organizations: RUPRI Center for Rural Health Policy Analysis, Rural Policy Research Institute
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Modeling the Frontier Extended Stay Clinic Conditions of Participation and Reimbursement Methodologies
Discusses the financial feasibility of the Frontier Extended Stay Clinic (FESC), a proposed provider type to expand services in remote and isolated primary care clinics. Compares Medicare reimbursement for FESC status with Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC), and Critical Access Hospital (CAH) reimbursement. Includes detailed examples of financial impact for seven clinics in rural Alaska, Nevada, Washington, and Wyoming.
Date: 2004
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Discusses the financial feasibility of the Frontier Extended Stay Clinic (FESC), a proposed provider type to expand services in remote and isolated primary care clinics. Compares Medicare reimbursement for FESC status with Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC), and Critical Access Hospital (CAH) reimbursement. Includes detailed examples of financial impact for seven clinics in rural Alaska, Nevada, Washington, and Wyoming.
Date: 2004
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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