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Rural Health
Resources by Topic: Medicare

Alternatives to the Outpatient Prospective Payment System: Assessing the Impact on Rural Hospitals
Explores alternatives to Medicare's Outpatient Prospective Payment System and how these options would affect rural hospitals.
Author(s): Janet Pagan-Sutton, Claudia Schur, Katie Merrell
Date: 04/2010
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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The Effect of Medicare Part D Plan Switching and Formulary Changes on Sole Community Pharmacies and the Patients They Serve
Presents findings from a survey of sole community independent pharmacies owned by pharmacists. Focuses on the impact of the Medicare Part D program.
Author(s): Michelle Lampman, Andrea Radford, Anh Nguyen
Date: 03/2010
Sponsoring organization: North Carolina Rural Health Research Program
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MedPAC Report to the Congress: Medicare Payment Policy, 2010
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2010
Sponsoring organization: Medicare Payment Advisory Commission
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The Potential Impact of Pay-for-Performance on the Financial Health of Critical Access Hospitals
Models the impact of different Medicare pay-for-performance (P4P) incentives on the financial health of Critical Access Hospitals (CAHs) using quality performance measures for pneumonia and heart failure from several data sources.
Additional links: Policy Brief, February 2010
Author(s): Robert Town, Ira Moscovice
Date: 12/2009
Sponsoring organization: Flex Monitoring Team
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Workforce Challenges in Delivering Health Care to Elderly and Low-Income Populations in Wyoming: Medical Providers' Acceptance of Medicaid and Medicare Patients
Examines medical professionals in urban and rural Wyoming providing care to Medicaid and Medicare enrollees, and factors associated with provider acceptance of new patients. Includes policy considerations to inform state-level policy and program implementation for low-income and elderly populations.
Author(s): Davis G. Patterson, Susan M. Skillman, C. Holly A. Andrilla, Mark P. Doescher
Date: 09/2009
Sponsoring organization: UW Center for Health Workforce Studies
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A Rural Perspective/Commentary Regarding "Transforming the Health Care Delivery System: Proposals to Improve Patient Care and Reduce Health Care Costs"
Outlines the potential impacts of proposed policy reform options from the Senate Finance Committee on rural America. Covers payment reform, long-term payment reforms, healthcare infrastructure investments, Medicare Advantage, and public program integrity.
Author(s): Keith J. Mueller, Andrew F. Coburn, A. Clinton MacKinney, Timothy D. McBride, Rebecca T. Slifkin
Date: 05/2009
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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MedPAC Report to the Congress: Medicare Payment Policy, 2009
Offers an annual review of Medicare payment policies, with recommendations to Congress. Discusses rural aspects of Medicare payment policies throughout the report.
Date: 03/2009
Sponsoring organization: Medicare Payment Advisory Commission
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Sole Community Pharmacies and Part D Participation: Implications for Rural Residents
Describes the contracting patterns of sole rural community pharmacies in 16 states to assess the extent to which each pharmacy contracts with the most commonly used Prescription Drug Plans (PDPs) available in their state.
Author(s): Victoria Freeman, Indira Richardson, Rebecca Slifkin
Date: 02/2009
Sponsoring organization: North Carolina Rural Health Research Program
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CMS Value-Based Purchasing Program and Critical Access Hospitals
Addresses the implications of value-based purchasing (VBP) for the cost-based reimbursement that Critical Access Hospitals (CAHs) receive. Describes the Rural Health Panel's recommendations for action.
Additional links: Summary of Recommendations
Author(s): Andrew F. Coburn, A. Clinton MacKinney, Timothy D. McBride, et al.
Date: 01/2009
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Medicare Beneficiaries' Access to Pharmacy Services in Small Rural Towns: Implications of Contracting Patterns of Sole Community Pharmacies with Part D Plans
Describes pharmacy Prescription Drug Plan (PDP) contract patterns of sole rural pharmacies. Addresses PDP enrollment choices of Medicare Part D enrollees.
Author(s): Victoria A Freeman, Indira Richardson, Rebecca T. Slifkin
Date: 01/2009
Sponsoring organization: North Carolina Rural Health Research Program
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