Policy analysis brief. W series最新文献

Home health payment reform: trends in the supply of rural agencies and availability of home-based skilled services. 家庭保健支付改革:农村机构的供应趋势和以家庭为基础的熟练服务的提供情况。

Policy analysis brief. W series Pub Date : 2005-03-01

Janet P Sutton

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A rural perspective regarding regulations implementing Titles I and II of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA). 农村对实施2003年医疗保险处方药、改进和现代化法案(MMA)第一和第二章法规的看法。

Policy analysis brief. W series Pub Date : 2004-08-09

Curt Mueller, Keith Mueller, Janet Sutton

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Exploring the impact of Medicare's post-acute care transfer payment policy on rural hospitals. 探讨医疗保险急症后转移支付政策对农村医院的影响。

Policy analysis brief. W series Pub Date : 2004-07-01

Julie A Shoenman

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Perspectives of rural hospitals on bioterrorism preparedness planning. 农村医院对生物恐怖主义防范规划的看法。

Policy analysis brief. W series Pub Date : 2004-04-01

Claudia L Schur, Marc L Berk, Curt D Mueller

{"title":"Perspectives of rural hospitals on bioterrorism preparedness planning.","authors":"Claudia L Schur, Marc L Berk, Curt D Mueller","doi":"","DOIUrl":"","url":null,"abstract":"Even the smallest, most isolated rural hospitals are now required to have bioterrorism preparedness plans. From the perspective of many rural hospitals, however, there is a disparity between Federal expectations and the realities of small hospitals operating in geographically isolated communities. As part of an effort to better understand how to close this gap, the Walsh Center for Rural Health Analysis convened a panel of representatives of rural hospitals who are responsible for bioterrorism preparedness in their hospitals. Perspectives of rural hospitals on various aspects of preparedness were discussed, in terms of workforce and training, physical capacity and supplies, communication, and coordination with other entities. All of the participants noted the tremendous progress that has been made in the past two years, but also the distance they each need to go. Some of the issues raised by the panelists included the dual benefit of efforts to increase capacity at rural hospitals, the inapplicability of many federal guidelines and directives for small hospitals because of size and less sophisticated infrastructure, the burden of geographic isolation relative to obtaining training and information, and the fragmentation of funding and directives at both the state and federal levels.","PeriodicalId":83862,"journal":{"name":"Policy analysis brief. W series","volume":" 4","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2004-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40892710","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}

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Rural hospitals' strategies for achieving compliance with HIPAA privacy requirements. 农村医院实现符合HIPAA隐私要求的策略。

Policy analysis brief. W series Pub Date : 2004-03-01

引用次数: 0

Financially distressed rural hospitals in four states. 四个州财政困难的乡村医院。

Policy analysis brief. W series Pub Date : 2004-01-01

{"title":"Financially distressed rural hospitals in four states.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"The Balanced Budget Act of 1997 dramatically changed the payment environment for institutional providers of non-acute health services by mandating a shift in Medicare reimbursement of outpatient, home health, and skilled nursing services from the traditional cost-based approaches to prospective payment. Although they were designed to slow health care spending, these Medicare payment reforms, particularly the outpatient prospective payment system (OPPS) rules, were projected to have a disproportionately negative impact on many rural hospitals. Subsequent revisions to the Balanced Budget Act (BBA) modified the initial legislation to alleviate or postpone the negative financial impact, including a hold harmless provision for small (100-bed or under) rural hospitals. Due to delays in processing hospital cost reports, sufficient data to assess the impact of the new outpatient payment system on small rural hospitals have only recently become available. We simulated the effect of OPPS on the financial performance of rural hospitals in four states - Iowa, Texas, Washington, and West Virginia. Our findings suggest that the profitability and cash position of small, government-owned, and Medicare-dependent hospitals will be adversely impacted by outpatient PPS. The results also suggest that the number of financially distressed rural hospitals will increase significantly. The small rural hospitals currently protected by the hold harmless provision are those that are likely to be hardest hit by OPPS.","PeriodicalId":83862,"journal":{"name":"Policy analysis brief. W series","volume":" 2","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40892706","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}

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Medicare home health care in rural America. 美国农村的医疗保险家庭保健。

Policy analysis brief. W series Pub Date : 2004-01-01

Sheila J Franco

引用次数: 0

The implementation of Medicare's outpatient prospective payment system and specific concerns for rural hospitals. 医疗保险门诊预付费制度的实施及对农村医院的具体关注。

Policy analysis brief. W series Pub Date : 2003-08-01

Penny E Mohr, Sreelata Kintala

{"title":"The implementation of Medicare's outpatient prospective payment system and specific concerns for rural hospitals.","authors":"Penny E Mohr, Sreelata Kintala","doi":"","DOIUrl":"","url":null,"abstract":"The transition to Medicare's new prospective payment system for hospital outpatient services has arguable been the most complex and difficult programmatic change in the history of Medicare (Federal Register, 2002). Concern about its adverse effects led to holding rural hospitals with 100 beds or fewer harmless from the financial consequences of the new payment system for the first three years. However, small rural hospitals were not held harmless from implementing the outpatient prospective payment system (OPPS). Many outside observers felt that small rural hospitals would be ill-equipped to handle the immensity of change required, and that claim denials or delays caused by inaccurate claims submissions might have a disproportionate effect on smaller hospitals. There were also reports about difficulties with the interim payment system that had been designed to ensure small hospitals did not lose money during the first three years. This policy brief describes issues that arose in implementing OPPS during the first years of the program, identifies specific implementation concerns for small rural hospitals, and raises issues that may warrant further research or policy action.","PeriodicalId":83862,"journal":{"name":"Policy analysis brief. W series","volume":"6 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2003-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24603740","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