Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s
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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
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
Special Medicare Payments for Rural Hospitals
Definitions of Rurality
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