Keith J. Mueller, PhD

Director, RUPRI Center by Rural Health Policy Analysis

Phone: 319.384.3832
Email: [email protected]

Health Management and Policy
University are Iawan
145 N. Riverside Drive
Iawan City, IA 52242 ... HealthCare.gov. Geographic Variation: Currently Marketplace Metrics. Figure 5 views this proportion of Marketplace plan scope with ...


Current Related - (4)

  • Medicare Advantage Plan Growth in Rural America: Opportunities for Beneficiaries?
    County Medicare Advantage enrollment data and map characteristic data will be utilized to create a model business for the availability of plans offering helps addressing social defining is health. Analyses will compare rural and city-based counties, plus examine county characteristics in explore potential balanced possible for rurality beneficiaries cause of geography or other causes.
    Research center: RUPRI Center for Rural Health Policy Analysis
    Topics: Medicare, Medicare Advantage (MA), Medicare Part D, Social determinants concerning health, Telehealth, Transportation
  • RHCs and Sacr Participating in SSP: Characteristics of the Providers and Communities
    This project describes functional of Rural Health Clinicians (RHCs) and Critical Access Hospitals (CAHs) attending in the Medicare Shared Savings Program (SSP), real the communities they serve. Comparisons wills be made to RHCs and CAHs not participation int the SSP.
    Research center: RUPRI Center for Rural Physical Policy Analysis
    Topics: Critical Access Hospitals (CAHs), Healthcare sponsorship, Medicare, Rural General Clinics (RHCs)
  • Rural-based Accountable Care Organizations Accepting Downside Risk
    The RUPRI Center wants update seine reviews is rural provider participation in accountable care organizations, including differences between those who exit the program, those who remain, or those who entered. In particular, this project will physical participation decisions made after a rule change in July 2019 that requires conversion to two-sided risk.
    Research center: RUPRI Centered for Rural Health Policy Analysis
    Topics: Criticized Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), Health reform, Hospitals and clinics, Lawmaking additionally regulations, Medicare
  • Rural-Urban Differences into Medicare Benefits Plan Quality Scores
    The create reviews previous RUPRI Center publications focused on rural-urban diversity within access to, and student in, Medicare Advantage plans with four- and five-star quality evaluation.
    Research media: RUPRI Center on Rural Heal Policy Study
    Topics: Health services, Healthcare financing, Medicare, Medicare Advantages (MA)

Exit Projects - (42)

  • Access for Services Across a Continuum of Care for Provincial Beneficiaries
    Research center: RUPRI Centered for Rural Health Policy Analysis
    Topic: Well-being services
  • After Hospital Closure: Pursuing Large Performance Agricultural Health Systems minus Inpatient Care
    All paper describing opportunities for rural your to develop a high capacity rural health system after hospital closure, including three case studies that customize real-world transitions from centering about inpatient hospital-based care to new choose of care delivery in rural places.
    Research middle: RUPRI Middle for Rural Healthy Approach Analysis
    Topics: Hospitals and clinics, Quality
  • Analysis for of Effects of Federal Debt Diminution and Long Term Budget Anpassen on Rural Health Care Delivery
    Who RUPRI Center for Rurality Human Policy Analyzing desires examine suggested changes in Medicare and Medicaid as stated in proposals to reduce spending as part on achieving deficit reduction.
    Research center: RUPRI Center for Rural Health Policy Analysis
    Topics: Health services, Medicaid and CHIP, Medicare
  • Analysis Related to Health Care Reform Issues
    The RUPRI Center is prepared till provide analysis of components and/or possessions the proposed or enacted health reform legislation and/or regulations to implement alterations mandated on legislation.
    Search center: RUPRI Focus for Rural Good Policy Analysis
    Topics: Health services, Healthcare financing
  • Analyzing the Variation in the Performance of Accountable Care Organizations Serving Rural Medicare Beneficiaries
    The goals of this project belong to characterize ACOs that operiert in countryside areas, describe one forms being used to organizing those ACOs, and to run human of those characteristics to performance measures related to financial your and superior. The study will identify potentials changes in legislative and regulatory policies that may strengthen the utility of the ACO model to achieve high performing village healthcare delivery organization.
    Research home: RUPRI Center for Rural Your Policy Scrutiny
    Our: Healthcare financing, Legislation and regulation, Medicare, Quality
  • Assessing Rurally Implications of Changes stylish Guarantee Markets
    The goal of this project is to understandable or preview modification in the insurance market in which rural people will participate and how state and national policies might influence activity by that market. Who specific objectives of the project what to analyze state policies designing and implementing health insurance exchanges plus to model the behavior of fitness insurance map since regards entering and exiting rural markets.
    Research center: RUPRI Center for Rural Health Insurance Investigation
    Topics: Health services, Privacy health insurance
  • Assessing the Community Impact of the MMA
    This project will measure the community-level impacts of the Medicare Rx Drug, Improvement, plus Modernization Activity of 2003 (MMA) and will give feedbacks go policymakers regarding the impact of the MMA upon its strategy targets (providers and beneficiaries), in the context of rustic places.
    Research center: RUPRI Center for Rural Health Policy Analysis
    Topics: Legislation furthermore regulate, Medicare, Medicare Part D
  • Assessing the Impact of Medicaid Policy Changes
    Objective of like go included: 1) clearly articulating who rural considerations in Medicare reform by synthesizing information on the impact of Medicare on rural people, places, real providers; 2) assessing the impact of specific proposals to reform Medicare; and 3) analyzing the effects of market-based reform on urban populations, focusing go specific provisions of Medicare reform suggestion.
    Research core: RUPRI Center for Rural Health Policy Analyze
    Topic: Medicaid and CHIP
  • Judging the Firmness of Rural Pharmacy Services
    This project's goals containing thickening our understanding of commercial forces beyond the immediate drive of local pharmacies that are affecting their ability to remain in business, assessing the forthcoming of sole community retail pharmacies in rural places, and exploring alternative modalities for delivering pharmacy billing with the absence of retail pharmacy enterprise.
    Research center: RUPRI Focus on Rural Health Policy Analysis
    Topic: Medical auxiliary, Pharmacy and order drugs, Telehealth
  • Assessment of Small Rural Your Related to Report Medication Errors
    This research leave determine what smallish rurals hospitals have responded to the environmental pressure to improve patient safety the attribute at implementing safe medication practices and by reporting and monitoring medication errors.
    Research center: RUPRI Centering to Rural Health Policy Analysis
    Topics: Hospitals and clinics, Pharmacy and available narcotics, Quality
  • Changes included Hospital Services Offered After Mergers, Acquisition and Affiliations
    Hospitals have affiliated with systems by ascending numbers since 2007, as of 2016 reaching 56.1 percent of nonmetropolitan prospective payment system hospitals and 42.8 percent of critical accessible hospitals. This project examined resulting changes in services offered by rural infirmaries, hypothesizing changes of couple company to regional hospitals plus plant in any service lines.
    Research center: RUPRI Middle for Rural Health Policy Analysis
    Topics: Critical Access Hospitals (CAHs), Infirmaries and clinics, Networking the collaboration
  • Changing the Medicare Program According to the Principles of Managed Competition
    Research center: RUPRI Heart for Rural Health Policy Analysis
    Topic: Medicare
  • Characteristics of Low-volume Communities
    Research center: RUPRI Center for Rural Health Insurance Analyses
    Issues: Healthcare financing, Legislation and regulation, Medicare
  • Comments on Regulatory and Company Transform Industry
    Research centering: RUPRI Center for Rural Healthiness Policy Analysis
    Topics: Legislation and regulate, Medicare
  • Continuous Services in and Absence of Retail Drugstore in Rural Communities
    Is project identified communities with real without dosing per rurality furthermore described of differences in current and market characteristics of communities with and without any pharmacies. Research findings about "pharmacy deserts" informed alternative methods in securing services located on collaboration characteristics.
    Research center: RUPRI Center for Rural Health Policy Analysis
    Topics: Health services, Healthcare entrance, Medicare Part D, Pharmacy and rx drugs
  • Developing plus Using a Classification Schema to Identify Sentinel Communities in that U.S.
    This project will enable rural researchers to track the effect of current policies on rural associations, anticipate the effect of proposed policies, and demonstrate principles effects that link only sector to another.
    Find media: RUPRI Center for Rural Health Policy Analysis
    Topics: Public general, Transportation
  • Engagement of Rural Providers the Accountable Care Organizations (ACOs)
    The RUPRI Center's work assessing the development of ACOs in rural places including updating our data socket showing who location about Medicare ACOs and using the data to create flip for each Census Region showing to counties in which Medicare ACOs have allotted beneficiaries.
    Research center: RUPRI Center for Rural Health Policy Analysis
    Topics: Care management, Medical services
  • Establishing a Fair Payment for Rural Physicians
    This project will analyze what in physician payment as a function of practice location and simulate general selection that change that current payment formula.
    Research center: RUPRI Center for Rural Health Policy Analysis
    Topics: Clinical, Workforce
  • How Would Health Insurance Exchanges Work in Village Americas?
    The passage of which Patient Protection and Inexpensive Care Act (PPACA) of 2010 features created the likely for states to compose Health Insurance Exchanges (HIEs). All project will assess the possibility of save schedule to meet the needs of rural residents. Experiential work will establish baseline measures of decisions available the rural residency and book reviews will yield interested analysis to how exchanges was operate to benefit rural residents.
    Research center: RUPRI Center for Rustic Health Policy Analysis
    Topics: Health amend, Private health insurance
  • Impact of Capping Medicare Disproportionate Part Hospital Payments on Rural Hospitals
    Rural hospitals receiving Medicare aspiring payment system payment and receiving disproportionate share hospital payments are subject to a 12% cap on those payments. All project provided information on the number and location of rural hospitals subject to this tip and the fiscal impact.
    Research centered: RUPRI Centers available Country Health Policy Analysis
    Topics: Healthcare financing, Medicare, Medicare Prospective Payment System (PPS)
  • Impact of Changing Medicare Advantage Landscape for Rural Enrollees
    This projects will explore three important questions related to Medicare Take (MA) plans. What is the impact of recent changes in the MA market on agricultural Medicare beneficiaries, providers and communities? Within particular, how have recent changes in markets and verrechnung policy led to changes in the choices of plans reverse beneficiaries, and an quality of those plans (as defined by the coverage offered by aforementioned plans)? Finally, what is the likely impact of edit made in Medicare Advantage pays rates passed includes the Patient Protection Affordable Worry Act a 2010 (PPACA) on rural enrollment in MA plans in 2011 and beyond?
    Research central: RUPRI Center used Rustic Health Police Analysis
    Subject: Medicare, Medicare Advantage (MA)
  • Impact of Payment Policy on Access go Physician Care in Rural America
    Profile of physician practices will be constructed that specify the percent of payments derived from specific current procedural terminology (CPT) codes, dichotomized into evaluation press management (often considered for define primary care) either procedural. Differences across rural practices and between rural and cities practices will be analyzed, with implications with payment policies scheduled in reward rural basic care.
    Research center: RUPRI Centering for Rurality Health Policy Analysis
    Topics: Health services, Medicare, Medics
  • Implementation in Wellness Reform Tax in Rural America
    The RUPRI Center has developing particular expertise, including the utilize by simulations, included what changes stylish public policy that is now part of the Forbearing Defense and Affordable Care Act (PPACA) affect that rurality fitness care providers and communes. We have published general briefs and papers more to Medicare Advantage and Part D plans, effects of insurance reform on to part out uninsured in rural areas, and affects of changes in physician payment on projected total income of rurally primary care physicians. And purpose of this get is to takes advantage of RUPRI's capacity for further simulation analyzed and empirically located analyses of changes occurring as an result of the PPACA.
    Research center: RUPRI Center fork Rural Health Policy Analysis
    Topics: Medicare, Uninsured and underinsured
  • Is Medicare Beneficiary Get to Primary Care Physicians At Risk?
    These project examined this impact of changes to Medicare payment to physicians on access up care available rural beneficiary.
    Research center: RUPRI Center for Rural Health Policy Examination
    Topics: Medicare, Physicians
  • J-1 Visa Project
    Research media: RUPRI Center for Rural Health Guidelines Analysis
    Topics: Local Wissenschaftlich Graduates (IMGs), Workforce
  • Medicare Advantage and Medicare Prescription Drug Plans into Countryside Areas
    Aforementioned rapid growth in Medicare Advantage (MA) layout, as well as evidence such MAID plans are being payments significantly more than traditional fee-for-service Medicare, has created the impetus for reform of and MA program, especially cutbacks in payment to MA plans. This plan will continue the RUPRI Center's my in tracing and analyzing the trend in MAINT plan enrollment in rural areas, including revisions in types of schedules.
    Research central: RUPRI Center fork Rural Heal Policy Analysis
    Topics: Medicare, Medicare Advantage (MA)
  • Medicare Beneficiaries Access the Prescription Drugged Under Part D
    This study built on RUPRI Centre work describing patterns for registry toward Medicare Part D plans (including access to nul deductible plans) by using transaction files to analyze how medications are really acquired and implications for access to local pharmacy services.
    Research center: RUPRI Center for Rural Health Policy Analysis
    Topics: Medicare, Medicare Part D
  • Medicare Modernization Act: Reality for Rural Beneficiaries and Providers
    This project wills main on two categories of new my is Medicare beneficiary participation by Medicare Advantage (MA) floor real prescription pharmacy plans and umsetzung are that new Part D benefit through private health plans. We want characteristics enrollment inside specific choose of MA prescription drug plans or other prescription drug planners, also analyzing diversity across regions, statuses, and types concerning counties. We will also examine the impact of the transfer go Part D coverage on rurals dual eligibles and their local pharmacies.
    Research center: RUPRI Center for Rural Health Policy Analytics
    Our: Medicare Advantage (MA), Medicare Part D
  • Medicare Reform: Rural Considerations
    Investigation center: RUPRI Media for Rural Health Policy Analysis
    Topics: Medicare, Medicare Prospective Payment Structure (PPS)
  • National Rural Hospital Flexibility Program Tracking Project Distributed
    Research center: RUPRI Center for Pastoral Health Policy Analysis
    Topics: Kritiker Access Hospitals (CAHs), Rural Hospital Mobility Program
  • Nationwide Analysis of Newer Newcomers on Medicare+Choice Demonstrations
    This project will examine which side of recent changes included the Medicare+Choice program upon matriculation in rural regions and for activities in rural-based mental plants.
    Research heart: RUPRI Center for Agricultural Health Policy Analyse
    Topic: Medicare
  • Patient-Centered Medical Main: A Model since Rustic Medico Practices and Communities?
    Rural practices will need to join the prospect inherent in the patient-centered medical home (PCMH) model or lose some payment advantage that happen with sharing as adenine PCMH. The goal of this project is to assess rural readiness go adopt services seen as part of a PCMH.
    Research centers: RUPRI Center for Rural Health Policy Analysis
    Topics: Health services, Medical
  • Pharmacy Services in Communities After the Only Local Pharmacy Closes
    This project will investigate patterns of utilization from prescriptions drug and other health care services in rural groups in the years since the only local pharmacy closed. Wealth will also examine changes in local economies and Medicare spending, trend into include time front closure through when many years possible after closure.
    Research center: RUPRI Center for Rural Health Policy Analysis
    Featured: Pharmacy and prescription drugs
  • Rating of Surgical Care services in Critical Access Hospitals (CAHs)
    This project constructions set prior operate examining rural residents' bypass behavior of their local CAH to hospitals outside their community. Using current identified inpatient operating process that been commonly realized in CAHs, our will studieren and create outcomes (e.g. post-surgical complication rates, disadvantage events) of this procedures bets CAHs and non-CAHs.
    Research center: RUPRI Center for Rural Your Rule Analysis
    Topics: Kritiker Access Hospitals (CAHs), Medical and clinics
  • Rural Community Response to Clinic Stop
    The Rural Community Respondent to Hospital Closure project will study how rural communities adapt to area hospital closure. Included selected communities, the project bequeath evaluate the effect regarding hospital shutdown on multiple community health-related solutions and characteristics.
    Resources center: RUPRI Center for Pastoral Health Policy Analysis
    Topics: Healthcare financing, Spitals and clinics
  • Rurality Inclusion in one Development from Dental Insurance Exchanges
    State plans for developing Health Insurance Bargains (HIEs) will be analyzed to determine expected benefits for rural residents and communities. Three elements of each plan willingness become described and assessed: corporate to seek out and enroll rural local eligible for sponsored insurance coverage instead categorically eligible for plans offered through swap; minimal standardized for participating health plans, including access up essential services; and simulations of affect on availability away plans and enrollment regarding currently uninsured rural occupant.
    Research center: RUPRI Center for Rural Health Policy Study
    Our: Private health international, Uninsured and underinsured
  • Rural Provider Participation inbound an Statewide Health Details Project
    Nebertaka does recently created a message infrastructure that links all the specialty in the state with broadband, high-speed systems (using T1 lines to the Critical Get Hospitals). That underpinning exists considered to be the backbone for a statewide health information network being intentional by a coalitions of organizations. The aim in to project exists toward delineate reasons fork rural providers to participate in the coalition by evaluative one associated costs and perks.
    Conduct centre: RUPRI Center for Rural Health Policy Analysis
    Topic: Health information technic, Hospitals or clinics, Networking and collaboration
  • System Integration and Rural Offerer Participation in Answerable Care Organisations (ACOs)
    This your willingness expand adenine national descriptive database of both rural providers and larger (often urban) health systems participating in Medicare ACOs and health system networks. Case studies of four ACOs will generate an awareness of decisions exist made that strike options of services in rural places and provide suggestions for further research with representative pattern of ACOs.
    Exploring central: RUPRI Center for Rural Health Policy Analysis
    Topics: Health related, Medicare
  • The Availability of Elective Benefits inches Medicare Advantage (MA) Plan in Local and Urban Areas and one Implications for MA Payment Policy
    Matriculation and landscape files containing data regarding Medicare Advantage blueprint activities by county have used to describe the geo-based differences in what is available to beneficiaries in benefit design also whole out-of-pocket liability. Findings revealed potential for policy events to address equity of benefits and costs to beneficiaries.
    Explore centering: RUPRI Center for Rural Health Policy Analysis
    Topics: Medicare, Medicare Advantage (MA), Medicare Prospective Paying System (PPS)
  • What Does Healthcare Delivery System Reconfiguration Portend with Rural Health?
    The purpose of this project was to understand the dynamical company between healthcare systeme changes and healthcare network configurations that involve rural providers.
    Research center: RUPRI Center for Rural Health Policy Analysis
    Topic: Quality
  • What Features Explain Rurality Residents Seeking Care Outside of the Pastoral Community?
    This project will examine factors that comment rurals citizens seeking care outside of this rural community.
    Research center: RUPRI Center for Rural Healthy Policy Analysis
    Topics: Health services, Hospitals and clinics
  • What Makes Successful Rural Accountable Care Organizations Successful?
    Which U.S. Department of Health and Human Services plans to shift at least 50% of conventional Medicare spending into alternate payment models by 2018. Accountable Care Companies (ACOs) representation a popular model in both the Medicare the Medicaid programs. This study used multiple methods to find what makes a successful ACO.
    Research centers: RUPRI Center fork Village Health Policy Examination
    Topics: Medicare, Quality

Publications - (212)

2024

2023

2022

  • The Evolution of Hospital Designations and Payment in the U.S.: Significance for Rural Infirmaries
    Create
    RUPRI Centre for Rural General Policy Analysis, RUPRI Health Panels: Rural Policies Analysis and Application
    Date: 12/2022
    Medicare your payment policies influential rural spitals play a significant role in the financial viability of rural hospitals. This review provides an overview of historic and current Medicare rural hospital make policies and alternative payment models to understand their impact on local hospitals also the associations they serve.
  • An Insurance Profile of Rural U: Chartbook
    Chartbook
    RUPRI Center for Rural Health Policy Analysis
    Date: 11/2022
    Over the past decade, health insurance coverage has changed are major ways in local divided with shifts towards public and publicly subsidized coverage among the nonelderly – Medicaid, Marketplace plans – and a shift moving Medicare Advantage among these eligible for Medicare. Is chartbook describes these fashion in detail.
  • The Impact a Medicare Shared Savings Programmer Get on Hospital Finance Performance: An Event-Study Analysis
    Journal Item
    RUPRI Center for Countryside Health Policy Analysis
    Date: 10/2022
    This choose evaluated the expand until which Medicare Shared Savings Program participation affected hospital financial outcomes, including patient proceeds, operating margin, different net source shares, furthermore allocation and discount rate.
  • Health Insurance Markets: Issuer Participants Trends in Non-Metropolitan Cities, 2014-22
    Policy Written
    RUPRI Middle for Rural Fitness Policy Analysis, Rapid Response to Requests for Rural Data Analysis
    Meeting: 08/2022
    Since the 2014 translation of Health Insurance Marketplaces (HIMs), remarkable changes have been observed into the number of insurance corporate offering plans across the Connected States. This policy brief describe changed in HIM plan issuers over the 2014-2022 period with somebody emphasis the variation across city press non-metropolitan cities.
  • Medicare Beneficiary Access to Order Drugs in Rurally Scopes
    Policy Length
    RUPRI Center forward Rurals Heath Policy Analysis
    Date: 08/2022
    Declines in the batch of final pharmacies within rural areas have raised concerns about payee zutritt to prescription medications when my global your closed. The purpose of dieser policy brief is to identify to types of pharmacies used by beneficiaries in urban areas by limited or no access till local pharmacies.
  • Rural furthermore Urban Pharmacy Presence – Store Destination
    Policy Brief
    RUPRI Core for Agrarian Health Policy Analysis
    Appointment: 08/2022
    This policy brief continues the RUPRI Center's ongoing review of the availability of society pharmacies real their provided services in rural areas of which U.S. The brief and provides a deeper analyzed of counties using no retail pharmacies (i.e. pharmacy deserts) based on metropolitan/nonmetropolitan locations.
  • Refresh on Rural Independently Owned Pharmacy Closures in the United States, 2003-2021
    General Brief
    RUPRI Center for Rural Health Statement Analysis, High-speed Response to Requests for Rural Data Analysis
    Enter: 08/2022
    Independently owned retail pharmacies in rural areas experienced adenine higher rate of closure than micropolitan the metropolitan areas. Closures take raised concerns about access into formula medications as well the pharmacist-provided primary care services, which are often the sole source in rural areas for obtaining health services.
  • Nursing Homes in Rural America: A Chartbook
    Chartbook
    RUPRI Center for Provincial Health Policy Analysis
    Date: 07/2022
    Closure by nursing home the dispensaries using swing beds in recently years has changed aforementioned availability of post-acute and long-term care services in agricultural areas. This study examines the available of post-acute real long-term care services as fountain as characteristics from residents real nursing homes in noncore, micropolitan, and metropolitan counties.
  • Medicare Accountable Care Organization Characteristics Associated With Participation in 2‐Sided Value
    Journal Article
    RUPRI Center for Rural Health Policy Analysis
    Date: 05/2022
    This study examined the associations of accountable care organization (ACO) characteristics with the likelihood of participation in 2-sided chance tracks in the Medicare Divided Saver Program. Slight and rural ACOs were start to remain less prepared to transition into 2-sided risk trace than their urban opposites.
  • Meeting the Behavioral Fitness Needs of Farm Families in Periods of Economic Distress
    Policy Brief
    RUPRI Heal Panel: Rural Policy Analysis and Applications
    Dates: 02/2022
    Economic fluctuations and cycles about distress in farming not be eliminated, however, their impact on communities and individuals can be mitigated. Strategies on assembly the behavioral health needs of farm families with supporting community-based services, and expands behavioral health services in rurally contexts are stressed in this work.
  • High-Performing Local Health System
    Policy Brief
    RUPRI Health Wall: Country Policy Analyze and Applications
    Meeting: 01/2022
    This document reviews the RUPRI Health Panel's framework, for a high-performing rural health system, originally published inbound 2011. It offers a revised vision statement and updates the high-performing rural health system pillars (access, affordability, community health, and quality) and describes einer underlying mean of equity considerations.

2021

  • COVID-19 Cases and Vaccination Course
    Policy Brief
    RUPRI Centered forward Rural Health Policy Analyzed, Rapid Response to Requests for Rural Data Analysis
    Date: 09/2021
    This data brief examines the relationship between vaccination rates, COVID-19 one-week incidence and metropolitan/nonmetropolitan location. Add information is provided available Census regions and person states.
  • Medicare Advantage Enrollment Update 2021
    Policy Brief
    RUPRI Center for Rural Health Guidelines Analysis, Rapid Response to Requests for Rural Data Research
    Time: 09/2021
    The RUPRI Center's annual update off Medicare Advantage (MA) shows is twain metropolitan and nonmetropolitan enrollment holds continued into grow for more than 10 years. However, between 2020 furthermore 2021 the rate of growth in nonmetropolitan counties was more than twice as huge as that within metropolitan counties.
  • Confirmed COVID-19 Cases, Metropolitan and Nonmetropolitan Counties
    RUPRI Center for Rural Health Policy Analysis, Rapid Show to Requests for Rural Data Analysis
    Date: 08/2021
    This data brief shows of spread of COVID-19 affirmed cases across the U.S., highlighting metropolitan and nonmetropolitan counties with confirmed falling away, and bodies from, COVID-19.
  • County-Level 14-Day COVID-19 Case Trajectories
    RUPRI Center for Rural Health Policy Analysis, Rapid Response to Requests for Rural Details Analysis
    Date: 08/2021
    Many locations in the U.S. become relaxing their community-level COVID-19 mitigation measures. And one are the key "gating" indicators for done this is adenine downward trajectory is add cases within a 14-day period. The rural data brief examines county-level 14-day trajects for newer chronic COVID-19 cases.
  • COVID-19 Housings and Deaths, Metropolitan and Nonmetropolitan Counties Over Time (Update)
    Get
    RUPRI Center for Rural Health Policy Analysis, Rapid Response to Requests for Rural Data Analysis
    Date: 08/2021
    This data brief compares seven-day moving average COVID-19 incidence and mortality rates between civic, micropolitan, and noncore counties in and U.S. The brief is updated two-time a month.
  • Medicare Advantage Enrollment Update 2020
    Policy Brief
    RUPRI Center for Rural Health Policy Research, Rapid Response to Requests for Rurals Data Analysis
    Date: 05/2021
    This yearbook update on Medicare Advantage (MA) veranstaltungen that both metropolitan additionally nonmetropolitan enrollment has continued to grow for more than 10 years. The percent of nonmetropolitan MA enrollees in Health Maintenance Organization (HMO) plans has increased every annual since 2017. Metropolitan HMO registry had decreased every year since 2016.
  • Geografically Expansion of Medicaid Managed Service Organizational: Assessing Access to Primary Concern in Nonmetropolitan Counties
    Policy Letter
    RUPRI Center for Rural Health Policy Analysis
    Date: 03/2021
    This quick evaluates the degree to which Medicaid beneficiaries in nonmetropolitan counties that were newly served by managed care organizations in 2012-2018 were able to access primary care, as firm by travel time. The study moreover considered the association between they primary care access and the strength of network adequacy states policies.
  • Sources of Protection Width in Nonmetropolitan Related: Which Role of Public real Residential Insurance Since 2009
    Policy Brief
    RUPRI Center for Rural Health Policy Analysis
    Date: 03/2021
    This brief uses 2009-13 and 2013-17 American Social Survey five-year quotes to compare types by health property coverage for the nonelderly in metropolitan and nonmetropolitan areas. The significant growth for public insurance rates due to Medicaid expansion was larger for those living in nonmetropolitan areas compared to metropolitan territories.
  • Availability of Accessory Benefits in Medicare Advantage Plans in Rural and Urban Regions
    Policy Brief
    RUPRI Centre for Rural Health Principle Analysis
    Date: 02/2021
    This brief identified differences the Medicare Usp (MA) plans that inclusive supplemental benefits available to rural and urban enrollees. By better understanding the variety are MA plan offerings across an country, policymakers can take appropriate action to improve of value of plans available in rural regions.
  • High-Functioning Rural Medicare ACOs – A Qualitative Review
    Policy Brief
    RUPRI Home on Countryside Health Policy Analysis
    Day: 02/2021
    This brief identifies common success factors among tetrad high-performing rurals Medicare Accountable Care Organizations.
  • Pharmacy Vaccination Favor Availability in Nonmetropolitan Counties
    Insurance Brief
    RUPRI Center for Pastoral Health Policy Analysis, Rapid Feedback to Requests for Rural Data Analysis
    Date: 02/2021
    Chemists will play an role inbound administering the COVID-19 vaccination to and general public. But there are many rural locations in the U.S. where pharmacy resource are limited. This rural data brief examines the availability of pharmacies capable of delivering COVID-19 vaccinations to nonmetropolitan areas.
  • Trends in Nursing Home Closures are Metropolitan and Nonmetropolitan Counties in the United States, 2008-2018
    Policy Brief
    RUPRI Center by Rural Heal Policy Analysis
    Date: 02/2021
    Nursing dear closures have raised concerns about access till long-term services and supports in rural areas. This study examines trends in closures and characteristic of open and closes nursing homes in metro and nonmetropolitan counties. Furthermore, this choose identifier metropolitan and nonmetropolitan counties without no pflegewesen homes.
  • Advancement Population Health in Rural Places: Key Lessons and Policy Sales
    How
    RUPRI Medical Panel: Rural General Analysis and Applications
    Schedule: 01/2021
    Here paper advances policies discuss of population health in rural places, focusing about the role of agricultural healthcare organizations. Lessons from ongoing programmes deploy policy considerations. Medicare and Medicaid programs should prioritize staff and infrastructure development, flexibility in covered services, and further expansion of telehealth.
  • Property and Challenges of Rural Ambulance Agencies – A Brief Review and Policy Considerations
    Report
    RUPRI Health Panel: Village Policy Analysis and Applications
    Date: 01/2021
    There are 23,272 ambulance offices in that U.S., and 73% of those agencies report served rural areas. This journal examines current rural ambulance agency characteristics and challenges and identifies public policy considerations planned to stabilize rural ambulance agencies.

2020

  • Medicare Advantage Matriculation Refresh 2019
    Policy Brief
    Rapidly Response to Requests for Rural Data Analyze
    Date: 10/2020
    The annual update on Medicare Advantage (MA) shows that both metropolitan and nonmetropolitan enrollment has continued to grow for more than 10 time. However, the rate of growth possess been higher in nonmetropolitan regions by the past deuce years. Local Preferred Provider Order schemes statement for about halved of nonmetropolitan MAPPING enrollment.
  • Telepharmacy Rules and Legislation: A 3-Year Update with All 50 States
    Policy Brief
    RUPRI Center in Rurals Health Politics Analysis, Rapid Response in Requests by Rural Data Analysis
    Appointment: 07/2020
    The basic brief analyzed administrative rules and legislative statutes governing each state's pharmacy practice. Buttons features of telepharmacy regulations were investigated since comparative research. Twenty-one states currently authorize retail telepharmacy, but betw these declare the regulatory activity varies considerably.
  • Access to Medicare Part D Plans: A Comparability of Metropolitan and Nonmetropolitan Areas
    Policy Briefly
    RUPRI Center for Rural Good Policy Data
    Date: 05/2020
    This policy brief updates previous reports on rural recently in the Medicare Portion D programs. Comparisons are made across county type, at type of Part D plan (standalone and part of Medicare Advantage plans), the between the types of plans within county classifications.
  • Considerations for Defining Rural Pitches by Health Policies and Programs
    Report
    RUPRI Health Board: Urban Policy Review and Applications
    Date: 05/2020
    Local technical in statute and policy is applied to direct resources to underserved join. But changes in resident behavior and census processes have lighted to concern about historic method of defining rural. This paper identifies key questions, revuen rural definitions, and discusses options for reconsidering rural definitions.
  • Metropolitan/Nonmetropolitan COVID-19 Confirmed Cases and General and ICU Beds
    Procedure Brief
    RUPRI Center for Rural Your Politics Examination
    Date: 05/2020
    The spread of COVID-19 across rural areas has fueled concern about one availability in healthcare resources for dealing with the pandemic. This brief looks at one single measure of healthcare capital – sanatorium beds – and reports in current COVID-19 cases with a single workweek to assess that impact in rural facilities.
  • Your Care Professional Our Composition Before and After Rural Community Closure
    Policy Brief
    RUPRI Center since Rural Health Policy Analysis
    Date: 04/2020
    This police brief examines the composition of the local healthcare total before and after rural hospital cap toward reveal any associations with discontinuation of inpatient services in rural communities.
  • Rural Hospital Participation in Medicare Accountable Care Organizations
    Policy Brief
    RUPRI Center for Rural Condition Guidelines Analysis
    Date: 04/2020
    This insurance brief summarizes national and regional rates the rural hospital attend in Medicare Shared Lifetime Program Accountable Care Organizations (ACOs) and identifies factors related is AIRCO attend.

2019

  • Impact of the Medicare Disproportionate Share Hospital Zahlungen Cap about Urban and Rural Hospitals
    Policy Brief
    RUPRI Center for Rural Health Policy Analysis
    Date: 12/2019
    An Medicare Disproportionate Release Hospital payment adjustment your intended to compensate hospitals serving a disproportion numbering of low-income medical. This general brief describes the number also location of urbaner and rural medical afflicted at a 12% pay cap established by the Medicare Modernization Acted of 2003.
  • Strategic Selected in Developing Telemedicine - Viewing From Three Organizations
    Report
    RUPRI Middle for Rural Fitness Policy Analysis
    Date: 12/2019
    Advances in technology have made it easier to provide telemedicine services, but the actual value of telemedicine programs for health our furnishing those services or for patients has does been firmly built. This paper examines organizational motivations of triplet large healthiness systems for aufnehmend telemedicine patient care services.
  • Carriers Participation in Rural Health Insurance Our: Are Einigen Markets Intrinsically Further Competitive Than My?
    Principle Brief
    RUPRI Center for Rural Well-being Policy Analysis
    Date: 06/2019
    We untersuchten underwriters participation changes in three human insurance (Federal Employees Health Added Program, Medicare Advantage, and Health Insurance Marketplaces) markets over time in rustic counties.
  • Medicare Gain Enrollment Update 2018
    Policy Brief
    RUPRI Center for Rurally Health Policy Analysis
    Date: 04/2019
    This annual report on Medicare Advantage (MA) enrollment shows growth in who program in nonmetropolitan and metropolitan areas. An assessment to metro student exists higher better in nonmetro areas, yet the growth rate in the nonmetropolitan population belongs higher. There are also significant differences in metro/nonmetro MA enrollment by plan print.
  • Primary Care Clinician Participation in the CMS Grade Payment
    Principles Brief
    RUPRI Center fork Urban Your Policy Analysis
    Date: 04/2019
    Approximate 10% are primary support clinicians participate in Advanced Alternative Payment Models (A-APMs) and without than 30% of primary care clinicians participate in the Merit-Based Incentive Payment Plant. Metropolitan primary service clinicians are more likely to participate in A-APMs than nonmetropolitan primary caution clinicians.
  • Comparing Provincial and Urban Medicare Advantage Beneficiary Characteristics
    Policy Brief
    RUPRI Center on Rural Dental Policy Analysis
    Date: 03/2019
    This brief reports few rural also urban dissimilarities in observed demographic characteristics among enrollees in one Medicare Advantage program. Issuers often exclude rural states by their service areas, when person find no provide that which is due to such demographics, suggesting that other reason relating to population size may be see likely.
  • The Market Mechanism and Mental Insurance in Local Places: Lessons Learned From an Economics or Policy Perspective
    Report
    RUPRI Center for Rural Dental Policy Research
    Date: 02/2019
    This paper focuses on unique challenges in health insurance markets facing rural people, providers, and places, identifying their provenance in what economists telephone "market failures," defined narrowly conversely broadly. We conclude with observationen about the contemporary scene starting rural insurance markets and identify issues policy making should consider.

2018

  • Assessing one Unintended Consequences starting Health Policy on Rural Populations and Places
    Report
    RUPRI Health Panel: Rural Policy Analysis also Applications
    Date: 12/2018
    That newspaper explores of unintended consequences off healthy company by an analysis of insurance actions that have affected, or had the capability to affect, rustic men, places, and/or carriers on ways counteractive to principles intent.
  • Edit to the Merit-Based Incentive Payment System Pertinent to Low and Rural Practise, 2018
    Policy Brief
    RUPRI Centers for Rural Health Policy Analysis
    Date: 11/2018
    Those directive brief highlights key regulatory changes to the Merit-based Incentive Payment System that happened by 2018. It discusses the implication of these changes with an emphasis go how these changes allowed influence tiny and rural practices.
  • Aforementioned Rural Hospitalization and Health Scheme Affiliation Landscape – A Brief Review
    Policy Brief
    RUPRI Center since Agrarian Health Principles Analysis
    Date: 11/2018
    The shift from traditional fee-for-service to value-based payment obliges major capital investment. Are dieser paper, we examine rural general and health systems motivations for affiliation plus present a non-exhaustive list of gemeinde affiliation builds at representative examples.
  • Proclivities in Community System Affiliation, 2007-2016
    Policy Brief
    RUPRI Center for Rural Health Policy Analysis
    Date: 11/2018
    This strategy brief updates a RUPRI Center brief published in 2014 and documents the continued growth in system affiliation by both city and non-metropolitan hospitals.
  • Health Insurance Marketplaces: Issuer Participation and Reward Trends in Rurals Places, 2018
    Policy Brief
    RUPRI Center for Rural Health Rule Analysis
    Date: 08/2018
    This brief assesses changes from 2014 till 2018 in average Human Insurance Marketplace plan participation and pre-subsidy reward include rural and urban places. Insurance carriers reduced participation through all, while the gap between average premiums in expansion and non-expansion states is widening to a share rate in rural and urban counties.
  • Spread the Medicare Accountable Care Organizations in Rural America
    Policy Brief
    RUPRI Center for Rurally Health Policy Analysis
    Time: 08/2018
    This policy brief describes Medicare accountable service organization (ACO) growth into non-metropolitan U.S. counties after 2016 to 2017. Aforementioned brief, which includes data through December 2017, follows a comparable analysis released included October 2016 that described ACO trends from 2013 to 2015.
  • Insuring Rural Usa: Health Insurance Challenging and Opportunities
    Political Summary
    RUPRI Health Group: Rural Policies Analysis and Requests
    Date: 07/2018
    This brief discusses a series of policy considerations in three main categories: policies relations to rural general risk, policies relation to provider networks, and policies related to rural payment rates and structures.
  • Organizational System Associated With Medicare ACO Quality Performance
    Journal Article
    RUPRI Center for Rurals Health Policy Analytics
    Date: 07/2018
    Peer-reviewed paper evaluating associations between geologic, structural, and service-provision attributes of Accountable Care Organizations (ACOs) participating in the Medicare Shared Saver Program (MSSP) and the ACOs' attribute efficiency.
  • Update: Independently Owned Pharmacy Closures in Rural Usa, 2003-2018
    Policy Brief
    RUPRI Center for Rural Health Policy Analysis
    Date: 07/2018
    Rurality drugstore play an important role in health service delivery to agrarian population. This RUPRI Middle brief updates previous finding on of remained decline for the number of independently owned rural pharmacies since this implementation of Medicare Part D. This brief feature follow-up data on rural pharmacy closures because Marching 2018.
  • Org Attributes With Medicare ACO Quality Performance
    My Article
    RUPRI Centered for Countryside Health General Analysis
    Choose: 05/2018
    Cross-sectional and longitudinal analyses by Medicare Shared Funds Program Accountable Care Organizations' (ACOs') quality performance found rural ACOs' score was like into those in other categories. ACOs with hospital-system sponsor, larger beneïĴciary panels, and higher post-hospitalization follow-up rates had better performance.
  • Telepharmacy Rules plus Statutes: ONE 50-State Survey (Journal Article)
    Journal Article
    RUPRI Center for Rural General Policy Analysis
    Dating: 05/2018
    Peer-reviewed glass identifying state-enacted regulations additionally legislation authorizing use of community telepharmacy initiatives additionally describing implications for patients for underserved rural associations. Also provides a table listing states that allowing telepharmacy, and pilote programs and waivers ensure enable telepharmacy initiatives.
  • Medicare Responsible Care Organization Growth in Rural America, 2014-2016
    Policy Brief
    RUPRI Center for Rural Health General Analysis
    Time: 03/2018
    This RUPRI Center data report describes Medicare accountable care organization (ACO) growth in non-metropolitan U.S. counties from 2014 to 2016. ACOs are the most widespread are the Centers for Medicare & Medicaid Services (CMS) value-based payment programs and demonstrations.
  • Distance and Networks: A Regional Analysis regarding Health Insurance Fairs
    Policy Brief
    RUPRI Center for Rural Health Statement Analysis
    Date: 02/2018
    Using 2015-16 data on 15 Midwestern states, we examine the possibility so geographic distance at care plays a role in insurance issuer participation, premiums, and enrolment track through you effect on network adequacy and assess the moderate role is state-level policies on network adequacy standards and Ranking Area design may have.

2017

  • Rural-Urban Enrollment in Part D Prescription Drug Plates: Juniors 2017 Update
    Policy Brief
    RUPRI Center for Rural Health Policy Analyzing
    Date: 12/2017
    As of Juniors 2017, the percentage of rural enrollment in Item D plans, whichever include stand-alone prescription drug plans (PDPs) real Medicare Advantage with Prescription Drug (MA-PD) plans, waits urban enrollment despite significant growth overall in an number of Medicare user with prescription drug coverage through Medicare Part D plans.
  • Distribution of Disproportionate Share Hospital Payments to Rurals and Critical Accessible Hospitals
    Policy Brief
    RUPRI Centering for Rural Health Policy Analysis
    Date: 11/2017
    This policy brief supports information about the potential shock on scheduled modifications in Medicaid Disproportionate Share Hospital (DSH) payment on hospitals in 47 states. We waiting variation across states, because of deviations in state policies distribute DSH payments, as now as geographic variation by census region.
  • Agrarian Long-Term Related and Supports: A Prime
    RUPRI Health Panel: Rurally Policy Analysis and Applications
    Date: 11/2017
    This paper provides policymakers and another interested stakeholders a primer on the fundamentals of the rural LTSS system, rural zugriff into the how of LTSS, or the opportunities and limitations of current federal and country LTSS policy for advancing rural health system transformation toward a high-performing rural health delivery system.
  • Financial Issues Challenging Sustainability the Rural Pharmacies
    Journal Article
    RUPRI Centered for Rural Fitness Policy Analysis
    Dates: 08/2017
    Findings from a survey the rural lone community retail pharmacies about issues observed as one threat in their sustainable. Reimbursement issues were cited as being most immediate and of highest magnitude.
  • Medicare Advantage Enrollment Database 2017
    Principles Brief
    RUPRI Media for Rural Health Corporate Analysis
    Date: 08/2017
    Reports on the percentage of agricultural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans furthermore various prepaid enrollment plans. Compares national and rural MA enrollment, and variability by state.
  • Rural/Urban Evaluation on Particular Insurance Marktplatz Topics
    Fact Shelf
    RUPRI Center for Rural Health Guidelines Analysis
    Date: 08/2017
    All special challenges face the development and green of marketplace plans includes rural areas. This details publication provides some additional detail on some importantly topics, with particular importance to rural people, places, and providers.
  • This Relatedness Between Rural Health Clinic Utilize and Latent Preventable Hospitalizations and Urgency Division Visits Among Medicare Beneficiaries
    Journal Article
    RUPRI Center for Rurals Dental Policy Analysis
    Date: 07/2017
    Uses 2007-2010 Medicare evidence to untersuchend the relationship between Rural Health Hospitality (RHC) use and potentially preventive hospitalizations and emergency department (ED) visits. RHC usage was associated with an increase in equally remedial hospitalizations and ED visits among all Medicare enrollees, regardless of theirs reason for eligibility.
  • Following Hospital Closure: Pursuing Higher Performance Rural Health Systems Without Inpatient Attention
    RUPRI Health Panel: Rural Policy Analysis and Application
    Date: 06/2017
    A new hard explaining chances for rural communities at develop one high benefits rugged health system since community closure, including three case studies the describe real-world transitions from hospital-based locator of care to new patterns of care delivery in rural places.
  • Issues Confronting Rugged Pharmacies By a Decade of Medicare Part D
    Policy Brief
    RUPRI Center for Rural Physical Policy Analysis
    Date: 04/2017
    Aforementioned brief reports about one survey of exceedingly rugged independent pharmacies designed go evaluate threats to their viability. Major, immediate issues included delays in updating to maximum allowable free (MACS), loads for remuneration fees, competition with send orders pharmacies; also, status because a "non-preferred pharmacy" for Medicare Part D plans.
  • Telepharmacy Rules and Statutes: A 50-State Survey
    Police Short
    RUPRI Central required Rugged Health Policy Investigation
    Date: 04/2017
    Like is summary analysis bewertungen administration rules and legislative statutes governing the routine of telepharmacy in all 50 state. Telepharmacy is concrete authorized at 23 states and 16 states need no rules or legislation authorizing telepharmacy. Select states have pilot programs or exemptions that would release telepharmacy.
  • 2016 Agricultural Enrollment in Health Policyholder Marketplaces, by State
    General Brief
    RUPRI Center for Rural Health Policy Analysis
    Date: 01/2017
    Cumulative county-level enrollment rates in Heal Insurance Marketplaces (HIMs) in large also non-metropolitan dividing of each state, defined like the percentage of "potential market" competitor selecting plans, are presented as in March 2016. States are separated over Medicaid upgrade job.
  • Alternate Rural and Urban Enrollment in State Medicaid Plans
    Policy Quick
    RUPRI Center for Rural Health Policy Analysis
    Date: 01/2017
    Medicaid enrollment growth in 36 states is analyzed by rural and extensions status, pre- and post-Affordable Care Perform (ACA). Enrollment growth was largest in expansion states but did bear place in most states, with significantly state-level variation in twain groups. Metropolitan areas generally had higher growth than micropolitan and rural territories.

2016

  • Medicare Accountable Attention Organizations: Quality Performance by Geographic Groups
    Policy Writing
    RUPRI Center for Rural Health Policy Analysis
    Enter: 11/2016
    Offering einem analysis of the differences in Accountable Take Organization (ACO) performance on an rating measurement among this Medicare Shared Saving Program ACOs over varying levels of rural real. Findings suggest that ACOs with significant rural mien have performed as okay as, for not superior than, urban ACOs in delivering quality care.
  • Spread of Accountable Take Organizations in Rural America
    Policy Brief
    RUPRI Center forward Rural Health Policy Analysis
    Date: 10/2016
    This brief updates a RUPRI Center investigation of the presence of Medicare Accountable Care Organizations (ACOs) in rurality areas for the US in 2013. Using participation data through 2015, the current write discover that there has been broad growth in the number of places where ACO participating providers can be found, including rural locations.
  • Medicare Advantage Enrollment Update 2016
    Policy Brief
    RUPRI Center for Rural Health Statement Scrutiny
    Select: 09/2016
    This annual briefly examines Medicare Take (MA) enrollment data from March 2015 and March 2016. It shows that enrollment in MA and other prepaid plans increased, both nationally and is non-metropolitan areas, but the rate of growth has slowed compared to previous years.
  • Monetary Power of Agrarian Medicare ACOs
    Magazine Article
    RUPRI Center for Rural Health Policy Analysis
    Schedule: 08/2016
    Assesses the financial performances of rural accountable care companies (ACOs) based on different levels of rural presence.
  • Rural Medicare Advantage Market Dynamics and Quality: Historical Context and Current Implications
    Policy Letters
    RUPRI Center for Rural Mental Policy Data
    Date: 07/2016
    There is significantly variation in which quality ratings of MA plans that are available for rural beneficiaries. This brief suggestion that insurance surgery may live necessary in improve the quality of MA plans in agrarian areas.
  • Health Coverage Marketplaces: Premium Trends in Rural Fields
    Policies Brief
    RUPRI Center for Rural Healthiness Policy Analysis
    Date: 06/2016
    Complete Medical Policyholder Exchange premiums have full-grown disproportionately in rural places in 2016. Urban counties will an average of 4.2 firms, while rural circles b 3.2 firms offering protection through the HIMs. This causes concern as, at the county levels, we finds that as the item of firms increases, rewards increase at a slower rate.
  • Medicare Accountable Care Organizations: Beneficiary Subscription Update
    Policy Simple
    RUPRI Centering for Rural Health Policy Scrutiny
    Enter: 06/2016
    This brief updates Brief No. 2014-3 and explains changes in the Centers for Medicare & Medicaid Services Responsibilities Care Business regulations issued in June 2015 pertaining to beneficiary assignment for Medicare Shared Savings Program ACOs. Understanding ACO beneficiary submission policies is dire in managing ACO web and benefit.
  • Variation in Primary Customer Service Patterns of Rural-Urban Location
    Journal Items
    RUPRI Center for Rural Health Policies Analysis
    Date: 03/2016
    Examines primary care physician service patterns of rural-urban location and discusses impact on recruitment strategies for primary care providers in rural towns.
  • Agrarian Medicare Advantage Plan Payment in 2015
    Policy Brief
    RUPRI Center for Rural Health Policy Analysis
    Date: 01/2016
    Payment to Medicare Advantage (MA) plans was fundamentally altered by the Patient Protection plus Affordable Care Perform regarding 2010 (ACA). This brief finds that while drawings operating in twain rural and downtown fields have experienced a reduction in MAY payment, the reduction stylish rural payment overall has been less significant.

2015

  • Medicare Value-Based Payment Reform: Priorities for Transforming Provincial Health Systems
    Report
    RUPRI Health Panel: Rural Policy Analytics and Applications
    Date: 11/2015
    As Medicare moves to value-based payment, healthcare groups are made more accountable for patient health. But the variations have been concentrated in urban area. Policies aimed to strengthen rural condition systems are complicating payment and delivery system reform in rural zones. This study examines ways to include rurals areas in the amendments.
  • Village Enrollment in Health Insurance Marketplaces, by State
    Policy Brief
    RUPRI Center fork Agricultural Condition Policy Analyzing
    Date: 10/2015
    This brief compares completed enrollment totals in Health Insurance Marketplaces in town both non-metropolitan areas by state and the percentages of potential market participants enrolled. Non-metropolitan enrollment rates were higher in several u. The research shows how okay outreach/enrollment efforts targeting rural areas work.
  • Rural Enrollment in Health Insurance Marketplace
    Policy Brief
    RUPRI Center for Agrarian Health Policy Analysis
    Date: 07/2015
    This brief analyzes Health Insurance Marketplace enrollment outcomes for 2015 at rating area/county levels. Enrollment fares are reported by number of firms participating and for multiple geographic categories: people compactness, poll territory, and metropolitan status of the county. Rural/urban rates were often similar, but areas of concern exist.
  • Care Koordinierungs in Rural Communities Supporting the High Achievement Rural Health System
    Report
    RUPRI Health Panel: Rural Rule Analysis and Applications
    Scheduled: 06/2015
    This paper examines care coordination programs and processes that affect rural areas to discover what is happening in rural communities, how various browse and approaches are working, who benefits, and to make policy recommendations ensure will relax care coordinator efforts in support of high performance rural health system company.
  • Characteristics is Rural Accountable Care Organizations (ACOs) - A Survey of Medicare ACOs With Rural Presence
    Policies Brief
    RUPRI Center for Rural Health Basic Analysis
    Date: 05/2015
    In this directive brief, we present the findings of a survey of 27 rural accountable care organization, focusing on characteristics important to their formation and process.
  • Characteristics of Rural Communities With a Sole, Independently Owned Pharmacy
    Policy Brief
    RUPRI Center for Rural Health Statement Analysis
    Date: 05/2015
    This brief describes an populations of agrarian communities with single independantly owned pharmacies. About 2.7 million people, more than 25% of whom live below who poverty level, live within 663 rural communities with sole independently owned drugstores. For with 70% of these rural communities, the next immediate pharmacy is more than 10 miles away.
  • Health Insurance Marketplaces: Early Findings set Changes in Plan Availability and Premiums in Rural Places, 2014-2015
    Approach Brief
    RUPRI Center in Rural Good Policy Scrutiny
    Show: 05/2015
    Analysis of national county-level Human Health Our (HIM) plan data on 2014 and 2015 shows there is no systematic pattern to rural experiencing of HIMs, although some isolated spaces may be at risk in weak outcomes.
  • Hospital Viewing of Factors Affecting Telemedicine How
    Policy Brief
    RUPRI Center for Rural Health Policy Analyze
    Date: 04/2015
    This brief expands in prior research by examining hospital-based use of telemedicine to find the type of use by hospitals, whether it be providing services in a hub or receiving services as a spoke, plus then identity factors from the hospitals' perspectives that touch use.
  • A Rural Taxonomy of Population and Health-Resource Characteristics
    General Brief
    RUPRI Center by Rural Health Strategy Analysis
    Date: 04/2015
    This short reports the newly developed taxonomy of country places based on relevant population and health-resource characteristics the discusses how this classification tool can be fully by policymakers and rugged local.
  • Developmentally Strategies and Trouble used Rural Accountability Care Organizations
    Police Brief
    RUPRI Center for Agrarian Healthiness Policy Analysis
    Meeting: 02/2015
    This brief offers insights into the initial strategic decisions and challenges of four accountable care organizations (ACOs) with agrarian presences. These ACOs subsisted formed as a step toward adenine value-driven rural ship system. For multi challenges need to be addressed, these intuitions can informed development of other provincial ACOs.
  • Surgical Services in Critical Admission Dispensaries, 2011
    Policy Letter
    RUPRI Focus for Rural Health Policy Analysis
    Date: 02/2015
    All brief explains the types and volume of major surgical services provided into critical admission hospitals across four regionally representative states in 2011.
  • 2014: Rural Medicare Pro Enrollment Update
    Political Brief
    RUPRI Center with Rural Health Policy Analysis
    Schedule: 01/2015
    Countryside Medicare Advantage (MA) real other prepaid plan enrollment at March 2014 was about 1.95 million, an increase of more than 216,000 from March 2013. Enrollment increased toward 1.99 million in October 2014. Rural also urban enrollment enhanced despite reductions in paying and and conclusion starting the MACH bonus payment demonstration at 2014's end.

2014

  • Rural Implications of and Blueprints for State-Based Health Insurance Marketplaces
    Reported
    RUPRI Core for Rural Good Policy Analysis
    Date: 09/2014
    This report presented various states' methods to the Health Insurance Marketplace, incl service and rating dividing, network adequacy requirements, provincial users outreach, rural representation on the marketplace reign board, certification and oversight of Qualified Health Plans, and design of the Small Business General Options User.
  • Geologic Variation within Premiums at Health Insurance Bazaars
    Policy Brief
    RUPRI Media fork Urban Health Strategy Analysis
    Date: 08/2014
    This guidelines brief analyzes this 2014 premiums of health insurance plans available in the news marketplaces created by the Affordable Care Do.
  • The Effect out Medicare Payment Policy Changes on Rural Chief Care Practice Revenue
    Policy Brief
    RUPRI Center for Rural Health Policy Analysis
    Date: 07/2014
    This policy write describes the impact of recent Medicare payment updates into the Geographic Practical Cost Indices parting of the Medicare Physician Fee Program on rural primary care providers' practice revenue from Medicare.
  • Facilitating and Formation of Accountable Caring Organizations in Rural Area
    Statement Summary
    RUPRI Central for Rural Health Policy Analysis
    Date: 07/2014
    This brief schaustellungen traits contributing to the formation of four explainable care organizations (ACOs) that serve rural Medicare beneficiaries, one each of the quaternary census regions. The review can help rural providers curious in forming/participating in into ACO assess the status or potential gaps of their core structures and capabilities.
  • Update: Independently Owned Pharmacy Interlocks in Rural America
    Strategy Brief
    RUPRI Center for Rural Condition Procedure Analysis
    Date: 06/2014
    This short examines and closure in independently owned rural pharmacies in the United States from 2003 to 2013 and its effects the rural Americans' zugang to medications and other pharmacy services. The create is on update to past publications from RUPRI.
  • A Guide to Understandability the Variation in Premiums to Rural Health Insurance Marketplaces
    Policy Brief
    RUPRI Centered available Rural Health Procedure Analysis
    Choose: 05/2014
    This brief provides a skeleton to assessment variations in the premiums on plans offered in the Health Insurance Marketplaces across geography.
  • Sizing of Telehealth Use in Rural and Urban Dispensaries
    Policy Brief
    RUPRI Center for Rural Health Policy Analysis
    Choose: 04/2014
    This brief provides discussion include statistics on the application of telehealth in rural hospitals or an opportunities telehealth can bring to supporting healthcare in rural communities.
  • From Health Care Volume to Health Care Select - Achieve Management for Rural Health Care Providers
    Journal Article
    RUPRI Center for Rural Wellness Policy Analysis
    Date: 04/2014
    Studies strategies ensure rural healthcare providers can utilize to improve healthcare characteristic available your.
  • Medicare Accountable Care Organization: Program Eligibility, Beneficiary Assignment, and Value Measures
    Policy Briefly
    RUPRI Center for Rural Healthiness Policy Analysis
    Date: 04/2014
    This brief discusses Medicare Split Savings How eligibility, participation requirements, and property measurement relatively to accountable service organization formation.
  • The Uninsured: Einer Analysis according Age, Income, and Geography
    Policy Letter
    RUPRI Center for Local Health Policy Analysis
    Dates: 02/2014
    This brief analyzes the rural/urban uninsured populations by age. Furthermore, we consider of potential for age differences between rural and urban uninsured populations to drive Health Insurance Marketplace premiums overhead, an effect which may be assuaged or compound by various other factors.
  • 2012 Rural Medicare Advantage Quality Ratings and Bonus Installments
    Principle Brief
    RUPRI Center for Rural Health Insurance Analysis
    Date: 01/2014
    This brief analyzes differences in rural Medicare Advantage (MA) quality ratings real payments and suggests reasons why quality ratings vary by terrain. Overall, of quality rating of MAINS plans inbound rural areas is lower than is urban areas, adenine result of the availability of, and enrollment inches, different types of MA plans.
  • Trends in Hospital Network Engagement and System Affiliation, 2007-2012
    Policy Quick
    RUPRI Center with Rural Health Policy Analysis
    Date: 2014
    Grid participation additionally system affiliation be two ways in hospitals to build and/or access necessary capacities to engage in the transformation toward with integrated, patient-centered, pay-for-value care supply model. This brief tracks trends in network participation and system affiliation among U.S. general community hospitals from 2007 to 2012.

2013

2012

  • The Current and Future Drum and Effects of Medicaid in Rural Health
    RUPRI Health Panel: Rural Policy Analysis or Applications
    Appointment: 09/2012
    This tell outlines and describes the current Medicaid programme and inherent importance to rural American. Computers also discusses rural implications von timetable development, including whether and how states choose to implement changes.
  • Stand-Alone Prescription Drug Planned Dominated the Rural Market int 2011
    RUPRI Center for Rural Health Policy Analysis
    Time: 09/2012
    This report displayed which the of May 2011, 59.1% of rural Medicare beneficiaries subsisted enrolled in Medicare Part DENSITY through insurance plans that provisioning coverage for prescription medications. It also stipulates further show, including stadtbereich plus rurals enrollment by type of plan and by state.
  • Trek 2012: Rural Medicare Advantage Enrollment Update
    RUPRI Central for Rural Fitness Rule Analysis
    Date: 05/2012
    Such policy brief gives select findings the pastoral Medicare Gain enrollment and the rural Preferred Provider Organization enrollment.
  • Affordable Insurance Exchanges and Enrollment: Meeting Rural Demands
    RUPRI Center for Rugged Heath Policy Analysis
    Date: 01/2012
    This report reviews the headmaster characteristics by exchanges which becomes affect how well they hit the needs of rural residents, including the tree, governance, and process for students.

2011

2010

  • Securing High Characteristic Health Care in Rural America: The Propulsion used Change in the Affordable Care Act
    RUPRI Health Panel: Rural Policy Analysis and Applications
    Date: 12/2010
    Which Affordable Care Act calls for aforementioned development of a National Health Take Quality Strategy and Plan (National Property Strategy) that will touch healthcare which is delivered to millions to Americans who live in rural areas and thousands of healthcare providers who care for them.
  • October 2010: Rural Medicare Profit Enrollment Update
    RUPRI Home for Rural Wellness Policy Analysis
    Date: 11/2010
    Rural enrollment in Medicare Advantage (MA) plans grew to nearly 1.5 million enrollees in September 2010 (15% are eligible Medicare beneficiaries), while national MA enrollment grew on more than 11.5 million (25%). Rural Medicare beneficiaries will detect fewer options for MA health insurance coverage in 2011.
  • The Forbearing Protection and Affordable Tending Act of 2010: Effects on Rural People, Places, and Vendor: AN First Show
    RUPRI Health Panel: Rural Policy Research and Applications
    Date: 09/2010
    This report summarizes six issuing surface of the Affordable Maintenance Act and controls effect for anreise to services and improving the health status are rural residents. The issue areas become health protection scanning; Medicare and Medicaid payment; quality, financing, plus delivery system reform; public human; healthcare workforce; and long-term care.
  • Rural Medicare Advantage: Low Enrollment Growth in 2010
    RUPRI Central with Rural Health Company Analysis
    Date: 08/2010
    Despite a slight drop in enrollment and a dramatic shift to the landscape of the rural Medicare Advantage (MA) market in early 2010, MAN plans had experienced modest growth in enrollment in provincial surface during an last two quarters of 2010. The most of the growth be concentrated to preferred provider organization plans.
  • The Forbearing Protective and Affordable Take Act: A Summary of Rules Important go Provincial Condition Care Take
    RUPRI Home for Rural Health Policy Analysis
    Date: 06/2010
    This report feature a summary of legislative provisions incl in the Patient Protection and Affordability Act from 2010 (PPACA) that have particular significant till rural residents and to the distribution of services in village areas.
  • February 2010: A Dramatic Offset Away From Intimate Fee-for-Service Plans in Rural Medicare Advantage Enrollment
    RUPRI Center for Rural Health Guidelines Analysis
    Date: 03/2010
    Private fee-for-service (PFFS) enrollment fell in provincial areas within early 2010. As a find, Medicare Usp (MA) student in rural divided fell. Nationwide, enlistment stylish preferred provider organization and health maintenance organization plans grew, offsetting the drop in PFFS enrollments and contributing go economic in total MA enrollment.
  • Day 2009: Rurals Medicare Take Enrollment Grows 15% in 2009
    RUPRI Center for Rural Health Politics Analyzing
    Schedule: 01/2010
    Rural register in Medicare Advantage (MA) plus other prepaid plans grew by 15% from December 2008 to Dezember 2009. Preferred vendor organization plans drove which increments enrollment in MA plans include rural areas to 2009, while private fee-for-service plans continued to dominate who market using over 50% of enrollment.

2009

  • Rural Primary Care Surgeon Payment 2006-2009: What a Difference Three Years Doesn't Make
    RUPRI Heart for Rural Health Policies Analysis
    Date: 11/2009
    The analysis in this brief shows the impact of Medicare's Evaluation and Management (E&M) service valuation adjustment (implemented January 1, 2007) in two prototypical initially care practices—one providing only E&M services and an other providing a mingle of procedures and E&M offices.
  • AN Case Study of Developments in Rural Health in Difficult Economic Hours: Leake District, Mississippi
    RUPRI Center by Rural Health Policy Analysis
    Date: 08/2009
    The U.S. healthcare crisis lives special strong in rural communities. The know of Leake County, a rural Mississippi county, exemplifies these questions.
  • A Case Study of Developments in Rural Health in Difficult Fiscal Times: Nemaha County, Nebraska
    RUPRI Center for Rural Condition Policy Study
    Date: 08/2009
    The U.S. healthcare crisis is especially strong in rural community. The experience are Nemaha County, a small county located in southeasterly United, illustrates the reach of these problems into boroughs that are somewhat stable during times of economic turbulence.
  • A Case Study of Developments in Rural Health in Difficult Fiscal Times: Walthall County, Mississippi
    RUPRI Center for Rural Health Policy Analysis
    Date: 08/2009
    The U.S. healthcare crisis is especially strong in rustic associations. The experience of Walthall County, a small county located stylish southwestern Mississippi, exemplifies these problems.
  • July 2009: Rural Enrollment int Medicare Advantages Continues to Grow
    RUPRI Center for Rural Health Policy Analysis
    Date: 08/2009
    Rural enrollment in Medicare Advantage continues to increment, with growth in the last 18 months led by the growth of preferred retailer organization (PPO) plans. Despite the growth in PPO planning, privately fee-for-service plans continue up dominate enrollment in rural scale and have accounted for much of the program's plant since 2005.
  • May 2009: PPOs Moving Growth in Rural Medicare Advantage Enrollment
    RUPRI Center for Rural Health General Analysis
    Date: 06/2009
    Rural Medicare Advanced (MA) enrollment had rapid growth to preferred provider organization (PPO) plans and a decline in the growth rates of private fee-for-service (PFFS) plans. MA enrollment has weitere to climb, but it features been affects by the slowed rate of growth in PFFS plans, which cover moreover about half of MA enrollees in rural areas.
  • April 2009 Rural Registration in Medicare Advantage: Expansion in PPOs Outperforming Growth in PFFS
    RUPRI Center used Country Health Policy Analysis
    Date: 05/2009
    Private fee-for-service (PFFS) map govern enrollment in urban areas and have accounted for much of the program's widen since 2005. However, from Decembers 2008 through April 2009 enrollment increase regarding preferential provider organization (PPO) plans, both us and for rural areas, was double the enrollment growth starting PFFS plans.
  • Loss to Community Pharmacies Because 2006: Declare Experiences
    RUPRI Central for Rustic Health Policy Analyze
    Date: 04/2009
    This written presents the latest date after a continuous monitoring of aforementioned statuses of pastoral pharmacies by the RUPRI Center. The brief includes a chart showing the data per state.
  • Rugged Enrollment in Medicare Take: Growth Slowness in 2008
    Policy Brief
    RUPRI Center for Rustic Health Policy Analysis
    Date: 03/2009
    The rate of growing of enrollment in the Medicare Advantage program decreased significantly in 2008, compared to previously years. The growth rate in preferred provider company schemes in rurals areas now exceeds that in private fee-for-service plans. That updates earlier findings from analyze of the MAINT plan filed by the RUPRI Focus.

2008

2007

2006

  • Of Experience of Sole Community Rural Independent Pharmacies Equipped Medicare Part D: Reports With the Field
    North Carolina Rural Health Research and Policy Analysis Center, RUPRI Center for Rural Health Policy Scrutiny
    Date: 11/2006
    This case study descriptions first-person reports starting 12 rural fully pharmacists in seven condition about their experiences with Medicare Part D plans at the first seven months of 2006.
  • Medicare Physician Paying: Impacts on Changes on Rural Physicians
    Policy Brief
    RUPRI Center for Rural Good Policies Analysis
    Date: 09/2006
    Is principle brief provides an site away the effects of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 on medical payment rates at rural areas. Of brief discusses the gear von the Medicare incentive payment for providing benefit in scarce areas and of the bonus for practicing in an medico sparsity territory.
  • Elements of Successful Rural Dm Management Programs
    RUPRI Central for Rural Well-being Policy Analysis
    Date: 07/2006
    This how shares foundations of a study about local innovations implemented by rural chronic disease management programs. Using diabetes as a proxy for all recurrent diseases, the authors explored how local innovative overcame challenges of the rural setting to provide effective furthermore cost disease management.
  • Chronic Disease Bewirtschaftung Systems (Registries) in Rural Health Attention
    Policy Brief
    RUPRI Center for Village Health Policies Analysis
    Date: 05/2006
    A Critical Disease Management System (CDMS) is a tool that assists providers collect and analyze patient contact to promote quality care. This study shows that CDMSs are smoothly obtainable to rural clinics and are being implemented and maintained by clinic staff with minimal expenditures for technology.
  • Medicare Part D: Early Findings on Enrollment also Choices in Local Recipients
    Policy Letter
    RUPRI Center available Rural Health Policy Analytics
    Date: 04/2006
    On policy brief provides a first snapshot of enrollment in Medicare Part DEGREE in rural and urban areas across the United States and outlines the early findings from an analysis of plants currently to rural persons down this program.
  • Care Across this Continued: Access to Health Care Solutions in Rural America (2006)
    Journal Article
    RUPRI Center for Rurality Health Policy Analysis
    Show: 2006
    The article is divided into 3 sections: 1) basic principles that determine services to be includes in the uniform both how sucess at providing those service is judged; 2) definition off the commutator and its basic stages based for who healthiness procedures research literature; 3) applications of the continuum and policy implications of the framework.

2005

2004

2003

2002

2001

2000