Trends in Special Medicare Payments and Service Utilization for Rual Areas in the 19990s

by Farley, Donna O.; Shugarman, Lisa R.; Taylor, Pat; Inkelas, Moira; Ashwood, Scott J.

• ISBN13: 9780833032133
• ISBN10: 0833032135
• Format: Paperback
• Copyright: 2002-11-18
• Publisher: RAND Corporation

Summary

This report analyzes four types of special payments that Medicare has been making 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.

Table of Contents

Preface	p. iii
Tables	p. ix
Summary	p. xvii
Acknowledgments	p. xxix
Acronyms	p. xxxi
Introduction	p. 1
Methods and Data	p. 21
Characteristics of U.S. Metropolitan and Non-Metropolitan Counties	p. 41
Payment Trends for Non-Metropolitan Hospitals	p. 53
Trends for Rural Health Clinics and Federally Qualified Health Centers	p. 95
Utilization and Spending for Physician Services	p. 119
990-1997 Trends in Aapcc Capitation Rates	p. 137
Special Hospital Payments and Part a per Capita Costs	p. 155
Policy Implications and Recommendations	p. 169
References	p. 177
Appendix: A. Special Medicare Payments for Rural Hospitals	p. 183
Definitions of Rurality	p. 189
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