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This report analyzes four types of special payments that Medicare has been making to rural hospitals and physicians. 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.
Table of Contents
Preface
Tables
Summary
Acknowledgements
Acknowledgments
Acronyms
Chapter 1
Introduction
Chapter 2
Methods and Data
Chapter 3
Characteristics of U.S. Metropolitan and Non-Metropolitan Counties
Chapter 4
Payment Trends for Non-Metropolitan Hospitals
Chapter 5
Trends for Rural Health Clinics and Federally Qualified Health Centers
Chapter 6
Utilization and Spending for Physician Services
Chapter 7
1990-1997 Trends in AAPCC Capitation Rates
Chapter 8
Special Hospital Payments and Part a Per Capita Costs
Chapter 9
Policy Implications and Recommendations
References
Appendix A
Special Medicare Payments for Rural Hospitals
Appendix B
Definitions of Rurality
The research described in this report was performed under the auspices of RAND Health.
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