The Trend Towards the Clinical Doctorate in Allied Health: Implications for Rural Communities. (August, 2008). ORHP. Freburger, J., King, J., Slifkin, R. FR94
Medicare Beneficiaries’ Access to Pharmacy Services in Small Rural Towns
Medicare Beneficiaries’ Access to Pharmacy Services in Small Rural Towns: Implications of Contracting Patterns of Sole Community Pharmacies with Part D Plans. (January, 2009). ORHP. Freeman, V., Richardson, I., Slifkin, R. FR95
Characteristics of Rural & Urban Children Who Qualify For Medicaid or CHIP But Are Not Enrolled
Characteristics of Rural & Urban Children Who Qualify For Medicaid or CHIP But Are Not Enrolled overview Substantial Portions of Children Who Are Eligible to Enroll in Medicaid or CHIP Are Uninsured About three-quarters of children who qualify for Medicaid or CHIP are enrolled, with slightly higher rates in rural areas than in urban areas.1… Read more »
Profile of Sole Community Pharmacists’ Prescription Sales and Overall Financial Position
Profile of Sole Community Pharmacists’ Prescription Sales and Overall Financial Position overview Sole community independent pharmacists provide essential services to residents of small towns and isolated communities. In an effort to document the role sole community pharmacies play in their local health care system and to monitor their financial and operational status we conducted a… Read more »
Comparison of Rural Hospitals With Special Medicare Payment Provisions to Hospitals Paid Under Prospective Payment
A Financial Comparison of Rural Hospitals With Special Medicare Payment Provisions to Hospitals Paid Under Prospective Payment overview The financial performance of rural hospitals has long been a concern to federal and state agencies as well as banks, creditors, bond rating firms, and regulators. For these reasons, Federal law makers have created and modified special… Read more »
Pediatric Care in Rural Hospital Emergency Departments
Pediatric Care in Rural Hospital Emergency Departments overview Optimal emergency care for children may be difficult for rural hospitals to provide. Rural hospitals have less access to pediatric and emergency medicine trained physicians and a low volume of pediatric ED patients makes it difficult for staff to maintain pediatric care skills. In addition, rural hospitals… Read more »
Comparison of Rural Hospitals with Special Medicare Payment Provisions to Urban and Rural Hospitals Paid Under Prospective Payment
A Comparison of Rural Hospitals with Special Medicare Payment Provisions to Urban and Rural Hospitals Paid Under Prospective Payment. (August, 2010). ORHP. Holmes, M., Pink, G., Friedman, S., Howard, A. FR98
States’ Use of Cost-Based Reimbursement for Medicaid Services at Critical Access Hospitals
States’ Use of Cost-Based Reimbursement for Medicaid Services at Critical Access Hospitals overview Critical Access Hospitals (CAH) are reimbursed by Medicare at 101% of allowable cost for both inpatient and outpatient services. State Medicaid agencies, however, are not required to reimburse CAHs on a cost-basis and have flexibility in determining how CAHs are paid for… Read more »
The Effect of Medicare Part D Plan Switching on Sole Community Pharmacies and the Patients
The Effect of Medicare Part D Plan Switching and Formulary Changes on Sole Community Pharmacies and the Patients They Serve overview Sole community independent pharmacies (i.e., those located at least 10 miles from the next closest retail pharmacy) are the primary access point to pharmacy services for residents in just over one thousand small communities… Read more »
Rural Volunteer EMS: Reports from the Field
Rural Volunteer EMS: Reports from the Field overview Prehospital emergency care services (EMS) are an essential component of a comprehensive health care system. Rural residents and visitors to rural areas rely on EMS for treatment and transport in the event of an injury or other health emergency. In many areas where the number of emergency… Read more »
Rural Hospital Support for Emergency Medcial Services
Rural Hospital Support for Emergency Medcial Services overview Prehospital emergency care is an important component of a comprehensive health care system. Rural EMS agencies face continual challenges to ensure a qualified workforce to meet prehospital emergency care needs. While most EMS agencies function as independent entities or are affiliated with fire departments, affiliation with a… Read more »
Trends in Skilled Nursing Facility and Swing Bed Use (Post Medicare Modernization Act of 2003)
Background of trends in skilled nursing facility and swing bed use in rural areas Reimbursement for facility-based post-acute skilled care has been affected by multiple regulatory changes, particularly during the period from 1997 to 2003. Payment for post-acute skilled care received in freestanding or hospital-based skilled nursing facilities (SNFs) was changed from cost-based to a… Read more »
Prospective Payment Compared to Special Medicare Payment Provisions
Profitability of Rural Hospitals Paid Under Prospective Payment Compared to Rural Hospitals with Special Medicare Payment Provisions overview The Medicare Prospective Payment System (PPS) was introduced by the federal government in October, 1983. Under PPS, hospitals are paid a pre-determined rate for each Medicare admission. Each patient is classified into a Diagnosis Related Group (DRG)… Read more »
Rural Volunteer EMS: Reports from the Field
Rural Volunteer EMS: Reports from the Field (September, 2010). Freeman, V., Rutledge, S., Hamon, M., Slifkin, R. FB98
Recent Changes in Health Insurance Coverage in Rural and Urban Areas
Overview of “Recent Changes in Health Insurance Coverage in Rural and Urban Areas” There has been concern about the impact of the recent economic downturn on health insurance coverage in the U.S. From 2007 to 2009, an additional 5.6 million adults became uninsured as a result of decreases in the number of adults covered by… Read more »