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