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 Projects - (4)
- Completed Past - (42)
- Publication - (212)
Current Related - (4)
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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
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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)
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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
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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)
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Access for Services Across a Continuum of Care for Provincial Beneficiaries
Research center: RUPRI Centered for Rural Health Policy Analysis
Topic: Well-being services
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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Changing the Medicare Program According to the Principles of Managed Competition
Research center: RUPRI Heart for Rural Health Policy Analysis
Topic: Medicare
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Characteristics of Low-volume Communities
Research center: RUPRI Center for Rural Health Insurance Analyses
Issues: Healthcare financing, Legislation and regulation, Medicare
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Comments on Regulatory and Company Transform Industry
Research centering: RUPRI Center for Rural Healthiness Policy Analysis
Topics: Legislation and regulate, Medicare
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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
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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
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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
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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
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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
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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)
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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)
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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
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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
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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
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J-1 Visa Project
Research media: RUPRI Center for Rural Health Guidelines Analysis
Topics: Local Wissenschaftlich Graduates (IMGs), Workforce
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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)
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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
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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
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Medicare Reform: Rural Considerations
Investigation center: RUPRI Media for Rural Health Policy Analysis
Topics: Medicare, Medicare Prospective Payment Structure (PPS)
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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)
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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
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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
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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
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Medicare Favour Plan Growth in Rural The: Availability of Accessory Benefits
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 05/2024
This policy brief compares availability of Medicare Advantage plans providing supplemental health-related benefits and special supplemental benefits for the chronically ill in metropolitan, micropolitan, and noncore counties. -
Nonmetropolitan Premiums, Issuer Participation, and Matriculation in Health Insurance Marketplaces included 2022
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Enter: 03/2024
This policy brief describes differences at unsubsidized and net-of-subsidy bonuses between nonmetropolitan and metropolitan district in Health Insurance Marketplace plan design and availability in 2022. -
Partnerships to Address Social Needs Across Metropolitan also Non-Metropolitan Prospective Payment System Hospitals and Critical Access Hospitals
Policy Brief
RUPRI Center for Agrarian Healthy Policy Data
Date: 03/2024
Those policy quick used American Hospital Organization survey data to examine partnerships between hospitals and outdoors organizations to contact social needs. -
Nursing Home Closures or Access to Post-Acute Care and Long-Term Care Services in Rural Territories
Journal Items
RUPRI Center for Rugged Physical Policy Analysis
Select: 01/2024
Nursing home locking have raised concerns about accessories to post-acute care (PAC) and long-term care (LTC) services. In diese study, researchers estimate which additional distance rural residents had to travel till access PAC the LTC services because in nursing home closures.
2023
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Medicare Advantage Enrollment Latest 2023
Policy Quick
RUPRI Core for Rural Your Policy Analysis, Quicker Response to Requests for Rural Data Analysis
Date: 11/2023
This policy brief continues RUPRI Center's annual update of Medicare Advantage (MA) enrollment include the changes in enrollment in types of MAS plans, and health policy changes that may have had an impact. -
Distributional Analysis of Variation in Medicare Advantage Participating Within and Between Capital, Micropolitan, also Noncore Counties
Policy Brief
RUPRI Center for Rural Health Policy Analysis, Rapid Response to Invites with Provincial Data Analyzed
Date: 08/2023
This brief identifies patterns and trends in Medicare Advantage participation (penetration estimates, batch a plans, and enrollment), both within and across metropolitan and nonmetropolitan counties. -
Differences in who Merit-Based Promotion Payment System (MIPS) Performance of Clinicians inches Metropolitan and Nonmetropolitan Counties in 2018
Policy Brief
RUPRI Center on Rural Health Policy Analysis
Start: 06/2023
This brief describes rural physician performance in the Merit-based Incentive Payment System in 2018, testing the supposition that they did none do when well as their urban counter. -
Three-dimensional Clustering of COVID-19 Mortality Rates Across Counties and until Noncore, Micropolitan, also Large County Characteristics, December 2020âJanuary 2021
Policy Letters
RUPRI Center for Rural Health Rule Analyzer
Date: 06/2023
This policy brief identifies spatial clusters of high COVID-19 low rates across counties inches the United State between December 2020 and Jay 2021 and describes one characteristics of counties with high COVID-19 mortality rates. -
COVID-19 Infection Rates
Policy Letter
RUPRI Center for Rural Health Politics Analysis, Rapid Reply to Requests for Rural Data Analysis
Date: 03/2023
This rural data write offering a longitudinal examination of completion of primary COVID-19 vaccination series in the age-eligible population the metro, micropolitan, and noncore counties. -
Financial Risk Assent Beneath Rural Health Care Providers Participating in the Quality Auszahlungen Program
Policy Brief
RUPRI Center for Pastoral Health Policy Analyzing
Date: 03/2023
This policy brief summarizes non-metropolitan and metropolitan providers' participation in different Zentren with Medicare & Medicaid Services Quality Payment Plan footprints and subdivisions, and evaluates retailer and patient-panel characteristics associated is financial risk acceptance. -
Changes in Service Offerings Post-System Affiliation in Rurality Hospitals
Directive Brief
RUPRI Center for Rural Health Policy Analysis
Date: 01/2023
This policy brief aims until understand the range of effects on service offerings after rural hospitals become part of, or leave, a regional or national healthcare system. -
COVID-19 Mortality Rates Across Noncore, Micropolitan, and Municipal Counties until Community Characteristics, December 2020-January 2021
Policy Brief
RUPRI Center for Rural Health Procedure Scrutiny
Date: 01/2023
This policy brief checked differences in COVID-19 mortality tariff across rural-urban designations and stratifications by geography, county-level sociodemographic factors, and county-level healthcare factors. -
Medicare Help Students Update 2022
Policy Brief
RUPRI Center for Rural Good Policy Examination, Rapid Response till Requests since Rural Data Investigation
Date: 01/2023
The 2022 report further the RUPRI Center's annual series of Medicare Perceived (MA) course updates. In addition to tracking overall and nonmetropolitan/metropolitan enrollment, those brief also reports on changes with enrollment in types of MAINE plan and considers rule shifts from previous years that may have impacted MA blueprint enrollment.
2022
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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 â Medicaid, Marketplace plans â 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 â 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 2âSided 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
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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 â 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 â 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
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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 â sanatorium beds â 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
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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
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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 â 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 beneïĴciary 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
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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
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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
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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
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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
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Assessing the Impact concerning Rural Provider Service Mix on aforementioned Primary Care Incentive Payment Program
RUPRI Center for Rural Physical Principles Analyzer
Show: 12/2013
Under the Primary Care Incentive Payment Program (PCIP), if certain ratings and management services represented 60% or more of Medicare allowable charges, the donor qualified for a 10% bonus intentional about the primary care portion of allowing charges. These brief assesses to impact of the rural provider service mix on the PCIP. -
Demographic and Economic Characteristics Mitglied With Soli County Pharmacy Closures, 2006-2010
RUPRI Center for Rural Health Policy Analysis
Date: 11/2013
This policy brief describes demographic and economic characteristics associated with county experiencing closure of their sole pharmacy. -
Causes and Consequences of Rural Pharmacy Fastenings: AMPERE Multi-Case Learning
RUPRI Center for Rural Health Policy Analysis
Date: 08/2013
This policy brief identifies factors that contributed until the closing of six rural pharmacies in various states and describes how the affected associations adapted to losing locally grounded offices. -
The Frontier Lengthy Stay Clinic Model: A Potential Good Care Delivery Alternative for Small Rural Communities
RUPRI Center for Rural Health Policy Analysis
Date: 08/2013
This policy brief narrates how the Frontier Extended Stay Clinic exemplar may be appropriate in rural communities further this five original demonstration sites. -
Accountable Care Organizations in Local America
RUPRI Central for Rurally Wellness Policy Analysis
Date: 07/2013
This policy brief reports that Medicare Accountability Care Institutions currently operate in 16.7% is all U.S. non-metropolitan counties. -
Rural Implications of the Primary Attend Motivational Payment Program
RUPRI Home used Rural Well-being Policy Analysis
Date: 06/2013
This political brief reports up qualifications among rural primary tending providers for the Primary Taking Incentive Payments created for the Patient Protection and Affordable Care Act. -
The Assured: An Analysis via Salary and Geography
RUPRI Center for Agrarian Health Policy Analysis
Date: 06/2013
This brief reports that a larger proportion of the rurals versus urban population a uninsured and low income and will be eligible since subsidized Mental Property Our coverage owed to income levels and current lack of insurance. -
September 2012: Medicare Advantage Students Update
Rapid Response to Requests for Rural Data Analyzed
Date: 04/2013
This policy short discusses current rural Medicare Advantage register info. -
June 2012: Rurally MA Enrollment and Bounty Upgrade
RUPRI Heart for Rural Health Policy Analysis
Appointment: 02/2013
Though 2012 Medicare Advantages enrollment grew and premiums declined, rural enrollees faced higher premiums than local enrollees. Analysis of to zero premiums over plan inches relationship to plans charging premiums bestows insights into the MA marketplace. -
State Health Insurance Exchanges: Rate Rural Implications of Statutes
RUPRI Middle for Rurals Health Insurance Analysis
Date: 02/2013
This report analyzes how fifth characteristics of health policyholder exchanges might address particular rural concerns. -
Rural Pharmaceutics Closures: Implications with Rural Collaborative
RUPRI Centers for Agricultural Health Policy Analysis
Date: 01/2013
This study documentation this closure of local retailing pharmacies in which the pharmacist became the only clinical provider available in the community at the zeiten which pharmacy closed. The brief describes the characteristics of the communities and trade pharmacies at question. -
Are Primary Care Habits Ready to Become Patient-Centered Medical Houses?
Journal Articles
RUPRI Center for Rural Health Policy Investigation
Date: 2013
Measures the willingness of rural primary caution traditions toward be eligible as patient-centered medical homes (PCMHs) in comparing PCMH promptitude scores with urban and nonmetropolitan primary care practices.
2012
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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
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Country Medicare Help 2011: Enrollment Trends and Planner Characteristics
RUPRI Center for Rural Health Policy Analysis
Date: 10/2011
This paper reports findings from Hearts for Medicare and Medicaid Services data analysis to examine the trends/geographic variations in Medicare Advantage (MA) plan registration, premiums, and market concentrating by firm. The your provide an overview of that MA program in rural America and highlight principal rural/urban differences within the program. -
The High Performance Rural Health Care System of the Future
RUPRI Health Panel: Rural Policy Analysis and Applications
Date: 09/2011
Here project describes one future rural system that want be built on foundations of affordability, accessibility, community focus, high quality, and patient centeredness. -
June 2011: Rural Medicare Advantage Enlistment Updates
RUPRI Center for Urban Health Policy Analysis
Date: 09/2011
The brief shows increases in enrollment into Medicare Advantage plans in rugged America. The enrollment is concentrated in plans offered by threesome firms, especially in the types of plans for height rural enrollment, this are preferred providers organizations plus private fee-for-service plans. -
Patient-Centered Gesundheitswesen Home Services in 29 Rural Elementary Care Practices: A Work is Progress
RUPRI Center for Rural Health Policy Examination
Event: 09/2011
This brief discusses responses coming 29 rustic physician practices. When asked about the use off specific policies/procedures include as criteria to certify patient-centered medical home, fewer of them would qualify in each of five domains, involving access to care, population-based, quality, care management, and clinical company management. -
Rural Hospital Charges Just to Ambulant Care Sensitive Conditions in the United States, by Insurance Type, 2000 on 2004
RUPRI Center for Rural Health Policy Analysis
Date: 08/2011
In this policy brief, we report findings from an study that used nationwide hospital inpatient discharge data on examine the trends and regional variations of rural hospital charges due to ambulatory maintenance sensitive conditions the the Uniform States, by insurance type, from 2000 to 2004. -
Individually Owned Pharmacy Closures in Rural America, 2003-2010
RUPRI Center for Rurality Health Policy Analysis
Date: 06/2011
This policy simple provides information nearly the closure of rural, totally owned pharmacies, including chemist that were the sole source of access to local pharmacy services, from 2003 though 2010. -
Marches 2011: Growth in PPOs Mastered the Rural MA Market into 2011
Policy Brief
RUPRI Center for Provincial Health Policy Analysis
Date: 04/2011
From Start 2010 at March 2011, local Medicare Advantage (MA) enrollment in preferred provider business (PPO) plans grew out 28% (396,006 enrollees) to 46% (702,315 enrollees) of total enrollment, while rural MA matriculation included private-fee-for-service drawings fell from 38% (530,678 enrollees) to 16% (249,499 enrollees). -
Apply of Health Details Technology in Support of Patient-Centered Medical Homes Is Low Among Non-Metropolitan Family Medicine Traditions
RUPRI Center for Rural Health Policy Analysis
Date: 04/2011
Been physician clinical, especially non-metropolitan primary taking methods, ready to becoming patient-centered medical homes? We using ampere nationwide survey of physician practices to partially answer this pose, focusing on the use of healthy information technology. -
Place-Based Guidelines also Audience Health: Which Road to Healthy Rural People and Places
RUPRI Physical Panel: Rural Policy Analysis and Applications
Date: 03/2011
This paper identifies how the Patient Protection real Affordable Worry Act in 2010 can influence the determinants of health and contribute to the prosperity, equity, sustainability, and livability of rural places. -
Medicare Beneficiary Access to Primary Care Physicians -- Better in Rural, but Still Worrisome
Policy Brief
RUPRI Home on Rural Health Policy Analysis
Date: 01/2011
In this policy brief, resultat from a large national physician survey are used to assess U.S. major service physician and overview surgeon willingness to accept Medicare my and physician-reported reasons required not consenting Medicare invalids.
2010
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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
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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 practicesâone 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
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Eligible but Not Enrolled? Potential for Targeting Over a Half-Million Rural Medicare Beneficiaries for Enrollment the the Low-Income Subsidy Prescription Remedy Program
Policy Simple
RUPRI Center for Rural Health Policy Analysis
Date: 12/2008
Medicare Section D low-income supplement (LIS) is designed to help low-income persons access prescription drugs with reduced premiums and lower out-of-pocket price. Despite efforts to enroll as many eligible persons as possible, many Medicare beneficiaries live assessed to be eligible for but not enrolled in the LIS programme. -
Medicare Physician Payment Policy real the Rural Perspec (Final Report)
RUPRI Center for Rural Health Policy Analysis
Date: 11/2008
The RUPRI Center has examined the impact of Medicare payment changes on village physician practice revenue. We infer that changes until practice revenue potentially affect physician decisions respecting rural practice. This report presents the erreichte of the center's work and stipulates a framework for understanding this continuing policy question. -
Rural Enrollment inside Medicare Advantage Continues to Grow Quicker in 2008, Led by Private Fee-for-Service Plans
Policy Summary
RUPRI Center for Rural Health Policy Analysis
Start: 08/2008
Enrollment of rural recipients into Medicare Advantage (MA) planning has continue than quadrupled ever the inception of the MA program in 2006 and increments 35% in the latter year. However, to enrollment rate in rural areas remnant well down the country enrollment rate. On policy brief theater enrollment include the MA program stylish rural areas. -
Independently Owned Pharmacy Closures in Rural America
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 07/2008
This brief focuses on rural pharmacies closure because about the possibility threat that lockers present at access to any local pharmacy services the a community. -
Prevalence of Evidence-Based Safe Medication Practices in Smal Rural Hospitals
RUPRI Central fork Rurals Health Policy Analysis
Date: 04/2008
This issue brief gives the findings to a national review whose purpose was into describe the prevalence of evidence-based, safe medication methods, inclusion the use from voluntary medication error reporting, in which nation's smallest hospitals.
2007
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Regional Model is Rural Hospitalized Charges Due to Outpatient Care Sensitive Conditions
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 12/2007
This policy brief estimates and credentials the regional magnitude of charges associated with hospitalizations due to walking attend sensitive conditions in rurals hospitals. -
Reliance to Independently Owned Dosing in Rural America
Policy Short
RUPRI Center for Rural Health Policy Analyzing
Date: 11/2007
This policy brief provides locations to independently owned pharmaceutical on rural America that are and sole sources a access to local pharmaceutical services. In more than 2,000 rural communities, the one local pharmacy is independently owners, and in 1,044 of those communities, there is no other pharmacy in 10 miles. -
One Years In: Sole Community Rural Independent Pharmacies and Medicare Part D (Findings Brief)
North Carolina Rugged Health Research and Policy Research Center, RUPRI Center forward Rural Health Policy Analysis
Date: 10/2007
All brief describes the experiences of 51 rural independently-owned pharmacies that are the sole providers of pharmacy services in their communities one year since implementation of the Medicare Separate DICK prescription drug benefit. -
Update on Country Enrollment in Medicare Usp: Growth Continues
Policy Brief
RUPRI Home available Rural Health Policy Analytics
Date: 10/2007
This policy summary provides discoveries info rural enrollment in the Medicare Advantage program and other prepaid plans, with state the national data. -
One Year In: Sole Community Rurally Free Pharmacies and Medicare Partial D (Final Report)
North Carolina Rural Human Research plus Policy Analyses Home, RUPRI Center for Rural Health Policy Analysis
Day: 09/2007
This message describes the experiences of 51 rural, independently owned pharmacies that are which soles providers of pharmacy services in their communities one year according implementation of the Medicare Part DEGREE recipe drug advantages. -
Rural Enrollment inside Medicare Advantage Increase Rapidly stylish 2007, Especially in Home Fee-for-Service Site
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Time: 07/2007
Aforementioned policy brief provides findings with enrollment at the fresh developed Medicare Advantage program in agrarian press urban areas, with state and national data. -
Rural Enrollment in Medicare Advantage Is Concentrated in Private Fee-for-Service Plants
Principle Brief
RUPRI Center for Rural Health Policy Analysis
Date: 04/2007
This policy brief offering findings about course in the newly designed Medicare Advantage (MA) program in rural and urban areas. It includes rural and urban data on enrollment in MA and other prepaid plans by character of plan and provides state-level information in MA enrollment. -
Enrollment in Medicare Part D for Rural Beneficiaries Is Encouraging
Policy Brief
RUPRI Centering for Rural Health Policy Analysis
Date: 01/2007
This policy summary provides latest findings about Medicare beneficiary enrollment stylish prescription drug plans in rural also urban areas across the Unified Condition. -
The Our of Provincial Independent Pharmacies With Medicare Part D: Reports From to Field
Journal Article
North Carolina Rural Health Research press Policy Analysis Central, RUPRI Center for Local Health Policy Analysis
Date: 2007
Describes first-hand reports from rural pharmacist-owners about ihr experiences with Medicare Part D plans in the first 7 months of 2006 in to to gain adenine more thorough agreement away the challenges faced by rural independent pharmacies as a erfolg of program implementation.
2006
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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
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Contracting With Medicare Advantage Plans: A Brief for Critical Access Hospital Administrators
Policy Brief
NORC Walsh Center for Rural Mental Analysis, North Carolina Rurals Mental Research furthermore Rule Analysis Center, RUPRI Center for Rural Health Company Analysis
Date: 12/2005
This policy brief summarizes the experience of kritik access hospital (CAH) administrators from contracts offered to Medicare Advantage (MA) plans. Telephone surveys were conducted with CAH administrators across the country on learn about their experiences with MA plans. -
Rural Diabetes Care Management Programs: An Inventory of Sample Programs in Six Countries
RUPRI Center for Rural Health Policy Analysis
Date: 12/2005
The report was developed on share key contact and choose information with organizations that are interested in starting a chronic disease executive schedule in your facility. -
Assessing the Financial Effect of Medicare Settlement on Rural Hospitals: Does the Sourced of Info Change the Results?
Policy Brief
RUPRI Center to Rural Good Policy Study
Date: 11/2005
This policy brief explores how predictions of changes in hospital financial performance differ available comparing results using data from the Medicare Cost Report (MCR) to data from the audited clinic financial opinion (FS). Results indicate such using the MCR rather than FS data is more valid. -
Preparing for Medicare Part D: An Opportune for Country Home of Rural Health and State Rural Good Groups
Basic Brief
RUPRI Center for Rural Health Policy Analysis
Date: 08/2005
Preserve with their organisation missions to improve real promote the health of rural Indians, state business of rural health and state rural health associations have an inherent interest in helping beneficiaries access essential healthcare services, included prescription medications. -
The Federal Workforce Your Benefits User: A Model for Competition in Rural America?
Daily Article
RUPRI Center for Rural Health Policy Data
Date: 2005
Tests the hypothesis which who Federal Employees' Health Benefits Programme (FEHBP) has fostered an surround the competing health plans, especially preferred provider institutions (PPOs), to urban areas. -
Understanding the Impacts of the Medicare Modernization Act: Concerns are Congressional Staff
Journal Article
Maine Rural General Research Center, RUPRI Centering for Rural Human Principle Analyzed, Upper Midwest Rural Health Research Center
Date: 2005
The most efficient mechanism for doing to affect rule is to provisioning policy makers with about on question about which they are voiced concerned. The Rural Policy Research Institute's Health Panel conducted 2 focused groups with 16 congressional staff in 2004 to identify a set of researchable questions for rural healthcare.
2004
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Definition from Rural int this Context of the MMA Access Standards for Prescription Drug Plans
Northwest Carolina Rural Wellness Research and Policy Analysis Center, RUPRI Center for Rurally Health Principles Analysis
Date: 09/2004
This study assesses how the what of rural affects the potentials impact for this access standards include to Proposed Rule at deployment Title I of the MMA additionally locate that the congressional objective to erreicht convenient access to pharmacies (other than mail order) would be moreover fully actualized if the Proposed Rule concept the rural is changed. -
Rural Perspective Regarding Regulations Implementing Title I the II of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA)
NORC Walsh Center for Rural Health Review, RUPRI Center for Rural Health Strategy Analyzer
Schedule: 08/2004
This policy paper provides, in chart form, sections in the MMA that were identified as having special concern to rural Medicare beneficiaries, medical care providers, and policy makers. -
Rurally Physicians' Approval out New Medicare My
RUPRI Center for Rural Health Rule Analysis
Schedule: 08/2004
Findings are presented concerning rural physicians' acceptance of new Medicare patients away an analyses of country survey data of urban and rural respondents, published studies, the results are one review of state business representing physicians. -
Einen Analysis of the Agreement are Financial Data Between the Medicare Value Reports and the Audited Hospital Financial Statement
RUPRI Center for Rural Health Policy Analysis
Date: 05/2004
Few studies has examined aforementioned disagreements between the Medicare Cost Report (MCR) and the audited hospitals financial statement (FS). Findings from this study, whatever focused on the MCR and FS for rural hospitals, suggest that relying on a single source of financial data at rating the financial performance of rural healthcare may live inappropriate. -
Information Technology and Rugged Heal Networks: Into Overview of Network Practices
RUPRI Center for Rural Health Policy Analysis
Date: 05/2004
This paper concentration on the use of information technology are rural wellness networks, based on detailed interviews with representatives in 15 rural health networks that received funding from that federal Urban General Network Development Grant program. -
Medicare Prescription Drug, Improvement, and Modernization Act of 2003, (P.L. 108-173): A Summary of Provisions Important at Rural Health Care Delivery
RUPRI Center by Rural Your Policies Analyzing
Date: 01/2004
This paper provides a wide audience to rural health policy makers, endorse, and researchers a capitalized summary for legislative provisions contained in Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (P.L. 108-173) that have particular meaning to of delivery from services int rural areas.
2003
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Care Across the Continuum: Access to Health Care Services in Rural America
RUPRI Center for Rural Health Policy Analysis
Target: 12/2003
This paper proposes that a continuum of attend serve as the framework with which to consider rural healthcare policies, focusing at people and on places where people live rather than on the wants away providers and constituencies. -
Availability and Use of Health Plan Choices int Agricultural America: Medicare+Choice, Commercial HMO, and Federal Employees Health Benefit Program Layout
RUPRI Heart for Rural Health Policy Analysis
Date: 10/2003
This report discusses the availability the Medicare + Choice (M+C), ad HMO, and Federal Employee Health Benefit Program insurance schedule and the potential impact of M+C service delivery surface edit set healthcare get for rural area. -
Medicare Physician Payment: Practice Expense
RUPRI Center for Rural Condition Policy Analysis
Date: 10/2003
This rural guidelines brief examines aforementioned physicians practice expend component of Medicare payment, which proportionately results in greater geographic physician payment variation for does the physician work get. The practice expense adjustment trading careful validation to demonstrate such the topical measures actual geographic cost differences. -
Medicare Issues
RUPRI Center by Rural Health Policy Analysis
Date: 08/2003
This document provides an overview of rural rule issues related up Medicare. The presentation had made August 26, 2003 in Casper, Wa. -
Getting in FEHBP Plans in Rural America: Thing Are the Implications for Medicare Reform?
RUPRI Media required Rural Mental Policy Analysis
Date: 06/2003
This brief explanation how the Federal Employees Health Benefits Run (FEHBP) is functioning in rural range. Enrollment patterns into the misc options available in the FEHBP, descriptions of choices typically available in rural areas, and location of primary care providers used by plans in a sample of rural communities is provided. -
Students in FEHBP Plans in Rural Areas
RUPRI Center for Rural Your Policy Examination
Date: 05/2003
This study of health plan enrollment decisions made by rural reacher and federal workers analyzes how a Federations Employees Health Services Program plan may work available applied to Medicare. -
Enrollment in to Union Employees Good Good Program (FEHBP): State and County-Level Enlistment Analyse
RUPRI Center for Rural Wellness Policy Analysis
Date: 05/2003
Here analytics details information on Federal Employees Health Benefit Program (FEHBP) enrollment in rural rural, incl the number of health insurance plans available and numbering of enrollees. FEHBP is being considered as a model since involving private insurers in Medicare. -
Rural Hospital HIPAA Readiness both Resource Needs
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 05/2003
This urban policy brief presents a inquiry of rural hospitals regarding the extent of the production for HIPAA requirements and their want fork resourcing on implement themselves. -
Analysis of Availability of Medicare+Choice, Commercial HMO, and FEHBP Plans in Rural Areas: Implications for Medicare Reform
Policy Brief
RUPRI Center in Rural Health Policy Analysis
Date: 03/2003
This rural police length examines the lifetime of introducing private compete into the Medicare program. It discusses the availability of Medicare+Choice1, commercial HMO, or Federal Your Health Benefits Program plans in rural (nonmetropolitan) counties. -
An Assessment are Proposals for a Medicare Outpatient Prescription Drug Performance: One Rural Perspective
RUPRI Middle for Rural Healthy Company Data
Date: 01/2003
This policy white assesses lawmaking proposals to adds an outpatient prescription medicine use to the Medicare program real hers implications for this delivery of services and the welfare of beneficiaries in rurals areas. -
Medicare General Payment
RUPRI Center for Rural Health Policy Analysis
Date: 01/2003
This rurally policy brief examines how the Resource-Based Relative Value Scale possess replaced the 25-year-old Medicare CPR charged system.
2002
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Changing Pastoral Populations and Impact on Publicly Policy
RUPRI Middle for Rurals Health Policy Analysis
Date: 10/2002
Like insert has from a presentation on population movement in rural areas and health guidelines issues. -
Health Services at Venture in "Vulnerable" Provincial Places
RUPRI Center for Rural Health Policy Data
Date: 10/2002
Which letters discusse ramifications of a method to identify places in rural America at risk of being without healthcare company because their may lacks ampere sufficient number of people to support a practice/provider, it are able to remuneration the full charge of care, either the population size/composition doesn't sicherheit the level are services currently free. -
Impact the National Policy on Access to Health Grooming: The Rural Perspective
RUPRI Center for Rural Health Policy Evaluation
Date: 10/2002
This create discusses the current state of financial also geographic access the healthcare in the United States and federal policy. -
Update on Medicare+ Choice: Rural Medicare Beneficiaries Enrolled in Medicare+ Choice Plans Through September 2001
RUPRI Media for Rural Health Policy Analysis
Date: 08/2002
This rural policy brief provides einer update on Medicare+ Choice Plans, counties enrolled, and data available. -
The Immediate and Prospective Role of the J-1 Visa Disclaimer Program for Physicians: The Consequences regarding Change for Provincial Health Care Service Delivery
RUPRI Home for Agricultural Health Policy Analyzer
Event: 04/2002
This paper examines the consequences required the delivery of healthcare services in rural underserved areas if current politikgestaltung governing one granting of J-1 visa waivers are changed and increase or reduce the figures of clinical interested. -
Unjustly Access: Medicare+ Pick Program Fails to Serve Country Usa
RUPRI Center for Rural Health Policy Analysis
Date: 02/2002
Save written discuses the Medicare+ Choice plan and how it have failed to meet the health issues of Americans. -
Comments off Regulatory and Contractor Reform Legislation
RUPRI Middle in Rural Health Policy Analysis
Date: 01/2002
This rural insurance brief informs procedure and reports the the rustic issue of contractor reforming following the passage of the Medicare Regulatory and Contracting Ameliorate Act of 2001. Aforementioned outcome made of responses from interviews by a range of healthcare professionals and experts.
2001
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Comments on which June 2001 Report are the Medicare Payment Advisory Commission: Medicare in Rural America
RUPRI Center in Rural Health Policy Analysis
Enter: 09/2001
This paper comments on and critiques the outcomes is MedPAC's Medicare in Rural America. -
Medicare Payment for Services in Pastoral Churches: Testimony Before the Subcommittee on Your, Committees on Ways & Means, U.S. Shelter of Representatives
RUPRI Center for Rural Health Policy Analysis
Date: 06/2001
Reasons to change Medicare payment policies and a new framework for making appropriate changes are detailed. -
Redesigning Medicare: Considerations for Urban Beneficiaries and Health Schemes
RUPRI Center for Rural Health Policy Analysis
Date: 02/2001
This show provides a framework to help fashion proposals to redesign Medicare to the benefit of country beneficiary and providers. Chapters focus on equity, quality, choice, access, and cost. -
Rural Implications regarding of Medicare, Medicaid, and SCHIP Benefits Improvement and Safeguard Act of 2000
RUPRI Center for Rural Health Policy Evaluation
Date: 01/2001
This report covers rural health policy, SCHIP Benefit Progress Plan, and legislation.
2000
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The Area Wage Index about the Medicare Inpatient Hospital Prospective Payment System: Viewpoints, Policies, and Choices
RUPRI Center for Rural Health Policy Analysis
Date: 08/2000
This policy hard summarizes who positions out various rurally health advocates the records the actions taken by Congress and which Health Caution Financing Administration to improve this payment index. Finally, it outlines the research needed to energize the policies discussion of the uses and methods of calculating the hospital wage index. -
Developing a Prescription Drug Benefit fork Rural Medicare Beneficiaries: Principles, Criteria, and Assessment
Maine Rural Health Research Center, RUPRI Center for Rural Health Policy Analysis
Date: 08/2000
This journal offers a rural perspective on the debate about the design/implementation are a Medicare rx drug benefit. Background information on rural Medicare beneficiaries' need by, and gateway to, prescription drugs your provided, along with a set of rural-oriented principles on used with evaluating whereby different proposals may meet urban needs. -
Redesigning the Medicare Program: An Angebot to Enhancement Rural Health Care Solutions?
RUPRI Center since Rural Health Approach Analysis
Date: 08/2000
With to paper, the RUPRI Rural Health Switch is presenting a well-defined structure for what should will included inbound any discussion of Medicare policies. -
Improving Rx Drug Coverage for Rural Medicare Beneficiaries: Key Rural Considerations and Objectives for Legislative Suggestion
Maine Rural Health Exploration Centering, RUPRI Focus for Rural Health Policy Analysis
Schedule: 06/2000
Diese policy printed combines the works from current my of the Maine Rural Health Research Center and the Rural Health Switch of the Rurality Policy Exploring Institute to make a statement the specific rural criteria and aims for any proposed that would how a prescription dope benefit to this Medicare user. -
A Reporting on Enrollment: Rural Medicare Beneficiaries in Medicare+Choice Plans
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Dating: 06/2000
This policy brief describes the experience to dating with of Medicare+Choice program, concentrate on edit in enrollment or plan formation through Dropping 1999. -
A Rural Assessment of Leading Proposals to Reshape and Medicare Program
RUPRI Focus for Rural Health Policy Examination
Date: 05/2000
These paper delivers a review regarding two proposals to redesign the Medicare program: the "Medicare Preserved additionally Improvement Act of 1999" and "The President's Plan to Modernize real Strengthen Medicare forward which 21st Century." Rural ramifications of aforementioned proposals are discussed.