Research Catalog

Title

Trends in special medicare payments and service utilization for rural areas in the 1990s / Donna O. Farley ... [et. al.].

Publication

Santa Monica, Calif. : Rand, 2002.

Items in the Library & Off-site

Details

Additional Authors

• Farley, Donna
• Centers for Medicare & Medicaid Services (U.S.)
• Rand Corporation
• RAND Health

Description

xxxii, 192 p.; 28 cm.

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.

Subject

• Rural Health Services > economics
• Medically Underserved Area
• Insurance, Health, Reimbursement
• Health Care Costs
• Medicare > economics
• Rural hospitals > Prospective payment
• Medicare
• Medicare > Cost control
• Rural health services
• United States

Genre/Form

Statistics

Note

• "MR-1595."
• "Prepared for the Centers for Medicare and Medicaid Services."

Bibliography (note)

• Includes bibliographical references.

Processing Action (note)

• committed to retain

Contents

1. Introduction -- 2. Methods and Data -- 3. Characteristics of U.S. Metropolitan and Non-Metropolitan Counties -- 4. Payment Trends for Non-Metropolitan Hospitals -- 5. Trends for Rural Health Clinics and Federally Qualified Health Centers -- 6. Utilization and Spending for Physician Services -- 7. 1990-1997 Trends in AAPCC Capitation Rates -- 8. Special Hospital Payments and Part a Per Capita Costs -- 9. Policy Implications and Recommendations -- App. A. Special Medicare Payments for Rural Hospitals -- App. B. Definitions of Rurality.

ISBN

0833032135

LCCN

^^2002026557

OCLC

• 50129324
• SCSB-10322745

Owning Institutions

Harvard Library