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Rural Health
Resources by Type: Document

Rural Minority Children's Access to and Timeliness of Immunizations: 1993-2001
Reports findings from a study to assess the quality of healthcare provided to rural minority children, using timeliness of immunization as an indicator of quality.
Additional links: Fact Sheet
Author(s): Arch G. Mainous III, Terrence E. Steyer, Mark E. Geesey
Date: 11/2003
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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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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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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Are There Geographic Disparities in Out-of-Pocket Spending by Medicare Beneficiaries?
Describes a study comparing out-of-pocket spending among rural and urban Medicare recipients. Includes data on differences based on supplemental insurance coverage.
Author(s): Tiffany A. Radcliff, Gestur Davidson, Aram Dobalian,
Date: 10/2003
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Health Insurance Coverage of the Rural and Urban Near Elderly
Results of a study of health insurance coverage of those between 55 and 64 years old. Includes data for rural and urban near elderly. Covers sources of health insurance coverage and rates of uninsurance.
Author(s): Erika C. Ziller, Andrew F. Coburn
Date: 10/2003
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Information Technology: Benefits Realized for Selected Health Care Functions
Describes cost savings and other benefits of information technology use in health care, including clinical care and administrative applications. Discusses examples from hospitals serving rural areas. Also includes examples of IT use by insurers for improved claims processing and customer service.
Additional links: Full Report
Date: 10/2003
Type: Document
Sponsoring organization: Government Accountability Office
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Physician Workforce: Supply Increased in Metropolitan and Nonmetropolitan Areas but Geographic Disparities Persisted
Describes the change in supply of physicians from 1991 to 2001. Includes data nationally and by state on physicians in nonmetropolitan areas and on the number of specialists versus generalists. Includes a list of Health Resources and Services Administration programs that address the supply and distribution of health professionals, with 1991 and 2001 expenditures for each program.
Additional links: Full Report
Date: 10/2003
Type: Document
Sponsoring organization: Government Accountability Office
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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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Availability and Use of Health Plan Choices in Rural America: Medicare+Choice, Commercial HMO, and Federal Employees Health Benefit Program Plans
Discusses availability of Medicare+Choice (M+C), commercial HMO, and Federal Employee Health Benefit Program (FEHBP) insurance plans, and the potential impact of M+C service delivery area changes on healthcare access in rural areas.
Author(s): Timothy McBride, Courtney Andrews, Keith Mueller, Michael Shambaugh-Miller
Date: 10/2003
Type: Document
Sponsoring organizations: RUPRI Center for Rural Health Policy Analysis, Rural Policy Research Institute
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Charleston, West Virginia, September 7-9, 2003
Minutes for a September 2003 meeting of the National Advisory Committee on Rural Health and Human Services in Charleston, West Virginia. Topics addressed include health professions education, mental health integration, oral health, and senior services.
Date: 09/2003
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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