Cover: Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s

Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s

by Donna O. Farley, Lisa R. Shugarman, Pat Taylor, Moira Inkelas, J. Scott Ashwood, Feng Zeng, Katherine M. Harris

Download

Full Document

FormatFile SizeNotes
zip file 2.3 MB

The file(s) provided above are ZIP-formatted archives, which most modern systems can natively unpack. If your computer does not unpack the archive when you double-click it, you may need to use a separate decompression program such as UnZip.

Purchase

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback209 pages $25.00 $20.00 20% Web Discount

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.

This report is part of the RAND Corporation Monograph report series. The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.