Rural Health
Resources by Topic: Policy
National Advisory Committee on Rural Health & Human Services Meeting Minutes, Washington DC, February 22-24, 2004
Minutes from a February 2004 meeting of the National Advisory Committee on Rural Health and Human Services in Washington, DC. Meeting included staff updates, a presentation on framing public policy for rural health and human services, and rural priorities of the U.S. Department of Health and Human Services.
Date: 02/2004
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Minutes from a February 2004 meeting of the National Advisory Committee on Rural Health and Human Services in Washington, DC. Meeting included staff updates, a presentation on framing public policy for rural health and human services, and rural priorities of the U.S. Department of Health and Human Services.
Date: 02/2004
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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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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Legal and Historical Roots of Health Care for American Indians and Alaska Natives in the United States
Discusses the history of healthcare provision to American Indians and Alaska Natives (AI/AN). Includes a timeline of legislative and historical events as well as detailed overview of the laws, federal agencies, and issues involved. Also includes a brief section on more recent issues in AI/AN healthcare.
Author(s): Brett Lee Shelton
Date: 02/2004
Type: Document
Sponsoring organization: KFF
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Discusses the history of healthcare provision to American Indians and Alaska Natives (AI/AN). Includes a timeline of legislative and historical events as well as detailed overview of the laws, federal agencies, and issues involved. Also includes a brief section on more recent issues in AI/AN healthcare.
Author(s): Brett Lee Shelton
Date: 02/2004
Type: Document
Sponsoring organization: KFF
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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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Rural Health Disparities, Population Health, and Rural Culture
Commentary discussing the rural health disparities documented in Health United States, 2001, Urban and Rural Health Chartbook. Recommends branching out from the traditional focus of rural health policy and research on access to healthcare services toward initiatives that are based on models of population health. Identifies the risky health behaviors among rural populations that suggest a "rural culture" health determinant. Suggests that there may be environmental and cultural factors unique to towns or regions that affect health behavior and health.
Author(s): David Hartley
Citation: American Journal of Public Health, 94(10), 1675-1678
Date: 2004
Type: Document
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Commentary discussing the rural health disparities documented in Health United States, 2001, Urban and Rural Health Chartbook. Recommends branching out from the traditional focus of rural health policy and research on access to healthcare services toward initiatives that are based on models of population health. Identifies the risky health behaviors among rural populations that suggest a "rural culture" health determinant. Suggests that there may be environmental and cultural factors unique to towns or regions that affect health behavior and health.
Author(s): David Hartley
Citation: American Journal of Public Health, 94(10), 1675-1678
Date: 2004
Type: Document
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A History of the Rural Health Care Services Outreach Grant Program
Describes the history of the Outreach Grant Program, which has had a significant impact on the health and welfare of many rural communities.
Date: 2004
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Describes the history of the Outreach Grant Program, which has had a significant impact on the health and welfare of many rural communities.
Date: 2004
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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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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Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Text of the legislation that adds a prescription drug benefit to Medicare and enhances some rural healthcare programs, such as the Critical Access Hospitals program.
Date: 11/2003
Type: Document
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Text of the legislation that adds a prescription drug benefit to Medicare and enhances some rural healthcare programs, such as the Critical Access Hospitals program.
Date: 11/2003
Type: Document
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Rural-Urban Issues in the Wage Index Adjustment for Prospective Payment in Skilled Nursing Facilities
Discusses the use of the hospital wage index for the skilled nursing facility prospective payment system (SNF PPS) and how a change to an SNF wage index would impact rural and urban skilled nursing facilities. Also identifies some related issues that impact reimbursement to SNFs in both urban and rural areas.
Additional links: Findings Brief, January 2004
Author(s): Kathleen Dalton, Rebecca Slifkin
Date: 11/2003
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Discusses the use of the hospital wage index for the skilled nursing facility prospective payment system (SNF PPS) and how a change to an SNF wage index would impact rural and urban skilled nursing facilities. Also identifies some related issues that impact reimbursement to SNFs in both urban and rural areas.
Additional links: Findings Brief, January 2004
Author(s): Kathleen Dalton, Rebecca Slifkin
Date: 11/2003
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Medicare Physician Payment: Practice Expense
Describes the variation in Medicare payment for practice expense using the Geographic Practice Cost Indexes (GPCIs). Explains the factors that are used to calculate GPCIs and lists the 2003 GPCIs. Discusses potential impact of lower Medicare reimbursement to rural physicians for practice expense.
Author(s): A. Clinton MacKinney, Timothy D. McBride, Michael D. Shambaugh-Miller, Keith J. Mueller
Citation: RUPRI Rural Policy Brief, 8(9)
Date: 10/2003
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the variation in Medicare payment for practice expense using the Geographic Practice Cost Indexes (GPCIs). Explains the factors that are used to calculate GPCIs and lists the 2003 GPCIs. Discusses potential impact of lower Medicare reimbursement to rural physicians for practice expense.
Author(s): A. Clinton MacKinney, Timothy D. McBride, Michael D. Shambaugh-Miller, Keith J. Mueller
Citation: RUPRI Rural Policy Brief, 8(9)
Date: 10/2003
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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