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Title Trends in special Medicare payments and service utilization for rural areas in the 1990s / Donna O. Farley [and others].

Publication Info. Santa Monica, CA : RAND, 2002.


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Description 1 online resource (xxxii, 192 pages)
Note "RAND Health."
Bibliography Includes bibliographical references (pages 177-181).
Contents Introduction -- Methods and Data -- Characteristics of U.S. Metropolitan and Non-Metropolitan Counties -- Payment Trends for Non-Metropolitan Hospitals -- Trends for Rural Health Clinics and Federally Qualified Health Centers -- Utilization and Spending for Physician Services -- 1990-1997 Trends in AAPCC Capitation Rates -- Special Hospital Payments and Part a Per Capita Costs -- Policy Implications and Recommendations -- References -- Appendix A: Special Medicare Payments for Rural Hospitals -- Appendix B: Definitions of Rurality.
Summary This report analyzes special payments that Medicare has been making to rural providers. These special payments are intended to support the rural health care infrastructure to help ensure access to care for Medicare beneficiaries. The research provides a comprehensive overview of these payments, including documentation of the supply of providers, trends in payments, and Medicare costs per beneficiary. Four types of special payments were examined: (1) payments to sole community hospitals, Medicare-dependent hospitals, and rural referral centers; (2) reimbursements to rural health clinics and federally qualified health centers; (3) bonus payments to physicians in rural health professional shortage areas; and (4) capitation payments in rural counties.
Note Print version record.
Subject Rural hospitals -- Prospective payment.
Rural health services -- United States -- Finance.
Medicare -- Cost control.
Electronic books -- UML.
MEDICAL -- Health Policy.
Medicare. (OCoLC)fst01014815
Medicare -- Cost control. (OCoLC)fst01014824
Rural health services -- Finance. (OCoLC)fst01101676
Rural hospitals -- Prospective payment. (OCoLC)fst01101703
United States. (OCoLC)fst01204155
Added Author Farley, Donna.
Shugarman, Lisa R.
Taylor, Pat.
Inkelas, Moira.
Ashwood, J. Scott.
Zeng, Feng.
Harris, Katherine M.
RAND Health.
Rand Corporation.
Centers for Medicare & Medicaid Services (U.S.)
Other Form: Print version: Trends in special medicare payments and service utilization for rural areas in the 1990s. Santa Monica, Calif. : Rand, 2002 0833032135 (DLC) 2002026557 (OCoLC)50129324
ISBN 9780833056863 (electronic bk.)
0833056867 (electronic bk.)
Report No. RAND/MR-1595-CMS
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