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Rural Health
Resources by Topic: Policy

Access, Health, and Wealth: The Impact of the National Health Service Corps in Rural America, 1970-2000
Examines 30 years of the National Health Service Corps' (NHSC) operation and its impact on rural America. Provides a detailed breakdown of healthcare professional providers who participated in the program, and includes information on mortality rates and self-reported health status for people living in rural Health Professional Shortage Area counties that were staffed with NHSC physicians. Also provides data on the economic impact for communities with NHSC personnel for selected states.
Author(s): George Fryer, Jessica McCann, Martey Dodoo, et al.
Date: 09/2006
Type: Document
Sponsoring organization: Robert Graham Center
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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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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Grand Forks, North Dakota, September 28-30, 2006
Minutes from a National Advisory Committee on Rural Health and Human Services meeting addressing the following topics: substance abuse, Head Start, and Medicare Advantage.
Date: 09/2006
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Medicare Physician Payment: Impacts of Changes on Rural Physicians
Presents an overview of the effects of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 on physician payment rates in rural areas.
Author(s): Keith J. Mueller, A. Clinton MacKinney, Timothy D. McBride
Date: 09/2006
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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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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Evaluation of Alternative Health Professional Shortage Area (HPSA) Definitions in Washington State
Technical brief describing the differences in Health Professional Shortage Area (HPSA) designation status of the 124 Health Service Areas (HSAs) in Washington State that result when the current designation system is used and provider counts versus provider full-time equivalencies (FTEs) are used.
Author(s): C. Holly A. Andrilla, L. Gary Hart
Date: 08/2006
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Attention from the Top: Roles of State Offices of Rural Health Policy in Preparing for Bioterrorism and Other Health System Emergencies
Presents results from a survey of directors of State Offices of Rural Health (SORHs) on emergency preparedness in rural communities. Discusses emergency preparedness activities of SORHs and SORH directors' impression of preparedness in rural areas of their states.
Author(s): Curt D. Mueller
Date: 07/2006
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Medicare Physician Payments: Trends in Service Utilization, Spending, and Fees Prompt Consideration of Alternative Payment Approaches
Statement discussing the sustainable growth rate (SGR) system, which Medicare uses to determine annual changes to physician fees. Includes some rural-specific information.
Additional links: Full Report
Author(s): A. Bruce Steinwald
Date: 07/2006
Type: Document
Sponsoring organization: Government Accountability Office
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Camden, Maine, June 11-13, 2006
Minutes from a meeting of the National Advisory Committee on Rural Health and Human Services covering the following topics: substance abuse, Medicare Advantage, and Head Start in rural areas.
Date: 06/2006
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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MedPAC Report to the Congress: Increasing the Value of Medicare
Examines issues affecting the Medicare program and makes recommendations to the Congress. Topics covered include care coordination, pricing accuracy in the hospice and physician payment systems, quality measures in home health, gathering data on outpatient therapy, Medicare Advantage, the Part D prescription drug program, and cost-effectiveness analysis.
Date: 06/2006
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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