Rural policy brief最新文献

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March 2012: rural Medicare Advantage enrollment update. 2012年3月:农村医疗保险优惠登记更新。
Rural policy brief Pub Date : 2012-05-01
Leah Kemper, Lisa Pollack, Abigail Barker, Timothy D McBride, Keith Mueller
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引用次数: 0
Patient-centered medical home services in 29 rural primary care practices: a work in progress. 29个农村初级保健实践中以病人为中心的家庭医疗服务:一项正在进行的工作。
Rural policy brief Pub Date : 2011-09-01
A Clinton MacKinney, Fred Ullrich, Keith J Mueller
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引用次数: 0
June 2011: rural Medicare Advantage enrollment update. 2011年6月:农村医疗保险优惠登记更新。
Rural policy brief Pub Date : 2011-09-01
Leah Kemper, Lisa Pollack, Abigail Barker, Timothy D McBride, Keith J Mueller
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引用次数: 0
Rural hospital charges due to ambulatory care sensitive conditions in the United States, by insurance type, 2000 to 2004. 2000年至2004年,按保险类型分列的美国农村医院门诊敏感状况收费情况。
Rural policy brief Pub Date : 2011-08-01
Wanqing Zhang, Li-Wu Chen, Tao Li, Keith Mueller
{"title":"Rural hospital charges due to ambulatory care sensitive conditions in the United States, by insurance type, 2000 to 2004.","authors":"Wanqing Zhang,&nbsp;Li-Wu Chen,&nbsp;Tao Li,&nbsp;Keith Mueller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this policy brief, we estimate and document rural hospital charges due to ambulatory care sensitive conditions (ACSCs) in the United States, by insurance type, from 2000 to 2004. ACSCs are specific adverse health conditions that can be managed in an ambulatory setting and should not require hospitalization. Hospital charges due to ACSCs are reported by region and payment source (private insurance, Medicare, Medicaid, uninsured). Community hospitals are important safety-net providers, and ACSC-related hospital expenditures in those hospitals could reflect the consequences of uninsurance and underinsurance (inhibiting access to ambulatory services). Research about the trends of ACSC-related hospitalizations can contribute to the assessment of the access to and quality of primary health care systems across US regions over time. Our study used nationwide hospital inpatient discharge data to examine the trends and regional variations of rural hospital charges due to ACSCs.</p>","PeriodicalId":38994,"journal":{"name":"Rural policy brief","volume":" 2011 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30080302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Independently owned pharmacy closures in rural America, 2003-2010. 2003-2010年美国农村独立药店的关闭。
Rural policy brief Pub Date : 2011-06-01
Kaitlin Boyle, Fred Ullrich, Keith Mueller
{"title":"Independently owned pharmacy closures in rural America, 2003-2010.","authors":"Kaitlin Boyle,&nbsp;Fred Ullrich,&nbsp;Keith Mueller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this policy brief is to provide policy makers, researchers, and stakeholders with information about the closure of rural independently owned pharmacies, including pharmacies that are the sole source of access to local pharmacy services, from 2003 through 2010. This period coincides with the implementation of two major policies related to payment for prescription medications: (1) Medicare prescription drug discount cards were introduced on January 1, 2004; and (2) the Medicare prescription drug benefit began on January 1, 2006. In this brief, we focus on rural pharmacy closure because of the potential threat such closures present to access to any local pharmacy services in a community. Those services include providing medications as needed (not waiting for mail order), overseeing administration of medications to nursing homes and hospitals, and patient consultation.</p>","PeriodicalId":38994,"journal":{"name":"Rural policy brief","volume":" 2011 5","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29989246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health information technology in support of patient-centered medical homes is low among non-metropolitan family medicine practices. 在非大都市家庭医疗实践中,支持以患者为中心的医疗之家的卫生信息技术水平较低。
Rural policy brief Pub Date : 2011-04-01
Keith J Mueller, Fred Ullrich, A Clinton MacKinney
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引用次数: 0
March 2011: growth in PPOs dominates the rural MA market in 2011. 2011年3月:2011年农村MA市场中,ppo的增长占主导地位。
Rural policy brief Pub Date : 2011-04-01
Leah Kemper, Lisa Pollack, Timothy D McBride, Keith Mueller
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引用次数: 0
Medicare beneficiary access to primary care physicians--better in rural, but still worrisome. 医疗保险受益人获得初级保健医生的机会——在农村更好,但仍然令人担忧。
Rural policy brief Pub Date : 2011-01-01
A Clinton MacKinney, Liyan Xu, Keith J Mueller
{"title":"Medicare beneficiary access to primary care physicians--better in rural, but still worrisome.","authors":"A Clinton MacKinney,&nbsp;Liyan Xu,&nbsp;Keith J Mueller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Primary care is the foundation of the rural U.S. health care system. Thus, the willingness of rural primary care physicians to accept new Medicare patients is critically important to the Medicare program and to rural America's elderly. But universally consistent access to primary care physicians for Medicare beneficiaries may be in jeopardy. The American Academy of Family Physicians (AAFP) reports that the percentage of family physicians accepting new Medicare patients declined from 84% in 2000 to 73% in 2008. Urban family physicians accepted new Medicare patients at a lower rate (70%) than did rural family physicians (83%). In this policy brief, we use results from a large national physician survey to assess U.S. primary care physician and general surgeon willingness to accept Medicare patients. We also assess physician-reported reasons for not accepting Medicare patients.</p>","PeriodicalId":38994,"journal":{"name":"Rural policy brief","volume":" 2011 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29661641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
September 2010: rural Medicare Advantage enrollment update. 2010年9月:农村医疗保险优惠登记更新。
Rural policy brief Pub Date : 2010-11-01
Leah Kemper, Lisa Pollack, Timothy D McBride, Keith Mueller
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引用次数: 0
Increases in primary care physician income due to the Patient Protection and Affordable Care Act of 2010 - continued tweaking of physician payment. 由于2010年的《患者保护和平价医疗法案》,初级保健医生的收入有所增加——继续调整医生的报酬。
Rural policy brief Pub Date : 2010-08-01
A Clinton MacKinney
{"title":"Increases in primary care physician income due to the Patient Protection and Affordable Care Act of 2010 - continued tweaking of physician payment.","authors":"A Clinton MacKinney","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Patient Protection and Affordable Care Act (ACA) authorizes several changes to the Resource-Based Relative Value Scale (RBRVS) system that are designed to increase primary care physician personal income and reduce geographic variation in primary care payment. In this brief, the ACA-authorized primary care payment adjustments are modeled in a prototypical rural primary care practice to assess both the potential impact on physician personal income and the likelihood that the changes will achieve the desired policy outcome. Key Findings. (1) The Patient Protection and Affordable Care Act (ACA) increases physician personal income in a prototypical primary care practice an average of $3,537 (1.9%) in 2010 compared to baseline income as if the ACA were not enacted. In 2011, physician personal income in a prototypical primary care practice increases by an average of $12,013 (9.3%) compared to baseline. (2) Due to Geographic Practice Cost Index (GPCI) changes legislated by the ACA, physician personal income increases are greater in entire-state Medicare payment localities than in states with multiple Medicare payment localities. (3) The requirement that at least 60% of a practice's furnished services must be specific \"primary care services\" to receive the ACA primary care bonus may eliminate eligibility for rural primary care practices that tend to offer more procedures (thus proportionally fewer primary care services) than urban/suburban practices. (4) The ACA primary care payment increases may be too small to have a significant impact on primary care and rural physician shortages. Targeted and significant primary care payment bonuses may be a more effective policy to reduce specific physician shortages.</p>","PeriodicalId":38994,"journal":{"name":"Rural policy brief","volume":" 2010 2","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2010-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29209390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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