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Rural Health
Resources by Topic: Reimbursement and payment models

State Licensure Laws and the Mental Health Professions: Implications for the Rural Mental Health Workforce
Examines licensure statutes and administrative rules for social workers, psychologists, professional counselors, and marriage and family therapists in the 40 states that have at least 10% of the population living in rural areas. Covers scope of practice, training and supervision, and reimbursement.
Author(s): David Hartley, Erika C. Ziller, David Lambert, Stephenie L. Loux, Donna C. Bird
Date: 10/2002
Sponsoring organization: Maine Rural Health Research Center
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Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s
Presents the findings of an analysis of payment trends for providers qualifying under Medicare special payment provisions for rural providers. Covers payment trends for rural hospitals, Rural Health Clinics, Federally Qualified Health Centers, and physicians.
Author(s): Donna O. Farley, Lisa R. Shugarman, Pat Taylor, et al.
Date: 06/2002
Sponsoring organization: RAND Corporation
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Financial Incentives for Rural Hospitals to Expand the Scope of Their Services
Examines the financial incentives that rural hospitals have to conduct surgery and treat more complex medical conditions. Evaluates whether rural hospitals that offer broader services are more profitable than hospitals with very limited inpatient services. A low-volume adjustment considered by the Medicare Payment Advisory Commissions (MedPAC) is discussed.
Author(s): Jeffrey Stensland, Michelle Brasure, Ira Moscovice, Tiffany Radcliff
Date: 06/2002
Sponsoring organization: University of Minnesota Rural Health Research Center
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MedPAC Report to the Congress: Medicare in Rural America, 2001
Overview of Medicare and rural healthcare. Covers rural access to care, quality of care, and Medicare payments. Also examines rural beneficiaries' access to Medicare+Choice health plans.
Date: 06/2001
Sponsoring organization: Medicare Payment Advisory Commission
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Update on Medicare+Choice: Rural Medicare Beneficiaries Enrolled in Medicare+Choice Plans through October 2000
Describes enrollment in Medicare+Choice in rural counties through October 2000.
Author(s): Timothy McBride, Courtney Andrews, Keith Mueller
Citation: RUPRI Rural Policy Brief, 6(7)
Date: 03/2001
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Key Rural Issues for Medicare Reform, 2001
Brief overview of rural issues related to Medicare reform. Discusses the need for rural representation and adequate payments to ensure healthcare access.
Date: 2001
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Hospital Wages and the Area Wage Index: 1990-1997
Examines whether incremental changes to the hospital wage index from 1990-1997 made it more fair across regions and how these changes impacted rural hospitals.
Additional links: Findings Brief, January 2001
Author(s): Kathleen Dalton, Rebecca Slifkin, Hilda Howard
Date: 11/2000
Sponsoring organization: North Carolina Rural Health Research Program
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Calculating and Using the Area Wage Index of the Medicare Inpatient Hospital Prospective Payment System
Explains how the area wage index (AWI) was developed to adjust Medicare payments to hospitals based on average hospital wages in an area. Identifies the major unresolved issues related to its calculation and use in the year 2000.
Author(s): Anthony Wellever
Citation: RUPRI Rural Policy Brief, 5(5)
Date: 06/2000
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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A Report on Enrollment: Rural Medicare Beneficiaries in Medicare+Choice Plans
Reports on changes in Medicare+Choice enrollment from December 1996 to October 1999. Also identifies Medicare+Choice plans added in 1998-1999.
Author(s): Brandi Shay, Timothy McBride, Keith Mueller
Citation: RUPRI Rural Policy Brief, 5(1)
Date: 03/2000
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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The Effect of Market Reform on Rural Public Health Departments
Reports on how rural health departments and populations they serve were affected by healthcare system changes in the 1990s, particularly Medicaid managed care. Based on site visits to four rural public health departments in each of five states: Georgia, Missouri, North Carolina, Oregon, and Wisconsin.
Author(s): Rebecca Slifkin, Pam Silberman, Susan Reif
Date: 01/2000
Sponsoring organization: North Carolina Rural Health Research Program
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