This presentation discusses the climate of change in health care, payment policies and price reduction threats. It will also touch base on the Affordable Care Act. Presented by A. Clinton MacKinney (Deputy Director and Assistant Professor, RUPRI Center for Rural Health Policy Analysis) at the Improving Health in a Climate of Change NACo in San …
Continue reading “Transitioning to a Value-Based Health Care Future”
This project examines the implications of changes in Medicare Advantage (MA) payment implemented in the Patient Protection and Affordable Care Act of 2010 (ACA) and in the current Centers for Medicare and Medicaid (CMS) demonstration of quality-based bonus payments. This research also focuses on key issues including: how the changes to MA payment, including bonus …
Continue reading “The Impact of Payment Reform on Rural Medicare Advantage Enrollment and Quality”
This presentation discusses important ways rural hospitals need to think about adapting to the changing policy and demographic landscape. Presented by Keith Mueller (Director, RUPRI Center for Rural Health Policy Analysis) for the Rural Hospital Conference Colorado Hospital Association in Colorado Springs, CO on May 8, 2013. View Presentation
This presentation explores the utility of Accountable Care Organizations in a rural context. Presented by Keith Mueller (Director, RUPRI Center for Rural Health Policy Analysis) to the Colorado Rural Hospital Conference in Colorado Springs, CO on May 8, 2013. View Presentation
This presentation examine the unique advantages that the Frontier Extended Stay Clinic model offers to rural populations. Presented by A. Clinton MacKinney and Patricia Atkinson at the NRHA Annual Rural Health Conference in Louisville, Kentucky on May 8, 2013. View Presentation
This presentation discusses how the rural healthcare landscape is changing and explores emerging implications for rural healthcare providers. Presented by Keith Mueller (Director, RUPRI Center for Rural Health Policy Analysis) for the State Offices of Rural Health – Region D meeting in San Diego, California on May 1, 2013. View Presentation
This presentation explores the Rural Emergency Department as a flagship healthcare service provider for rural hospitals, hospital systems, and communities. Presented by A. Clinton MacKinney (Deputy Director and Assistant Professor, RUPRI Center for Rural Health Policy Analysis) on April 26, 2013. View Presentation
This presentation explores how current and emerging research might impact rural health care providers and policy makers in strengthening sustainable models of healthcare provision in rural areas. Presented by Keith Mueller (Director, RUPRI Center for Rural Health Policy Analysis) for the IAHL Roundtable Discussion in Des Moines, Iowa on February 28, 2013. View Presentation
This presentation provides analysis of current changes to health care and health care systems that provide services in rural areas. Mueller offers tips for transitioning toward an optimal system that fits within this evolving context. Presented by Keith Mueller (Director, RUPRI Center for Rural Health Policy Analysis) to the Rural Health Leadership Conference in Phoenix, …
RUPRI Health Panel Provided Comments to HRSA on Proposed Designation of Frontier & Remote Areas. December 29, 2012. Read Comment Letter Here
RUPRI Health Panel Provided Comments to CMS-9972-P, Proposed Rule: Patient Protection and Affordable Care Act; Health Insurance Market Rules; Rate Review. December 18, 2012. Read Comment Letter Here
This brief outlines and describes the current Medicaid program and its importance to rural America. It also discusses rural implications of program expansion, including whether and how states choose to implement changes. View Report This report was written by Health Panel Members Keith Mueller, Andrew Coburn, Jennifer Lundblad, A. Clinton MacKinney, Timothy McBride, Sidney Watson …
Continue reading “The Current and Future Role and Impact of Medicaid in Rural Health”
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The RUPRI Health Panel offers an aspirational vision, for a highperformance rural health care system. The RUPRI Health Panel envisions rural health care that is affordable andaccessible for rural residents through a sustainable health system thatdelivers high quality, high value services. A high performance rural healthcare system informed by the needs of each unique rural …
Continue reading “The High Performance Rural Health Care System of the Future”
Place-Based Policies and Public Health: The Road to Healthy Rural People and Places View Report This joint paper by the RUPRI Health Panel and Human Service Panel examines how effective place-based policies can influence how rural and metropolitan areas develop, how well they function as places to live, work, operate a business, preserve heritage, and …
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View Report The ACA calls for the development of a National Health Care Quality Strategy and Plan (National Quality Strategy) that, by definition, will affect health care that is delivered to millions of Americans who live in rural areas and thousands of health care providers who care for them. The goal of this paper is …
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View Report This Policy Paper assesses legislative proposals to add an outpatient prescription drug benefit to the Medicare program and their implications for the delivery of services and the welfare of beneficiaries in rural areas. Included are comments on five proposals introduced in the 107th Congress: one that was passed by the House of Representatives, …
View Policy Paper The Rural Health Panel is publishing this policy paper to provide a foundation for a discussion of the recommendations and findings presented in the June 2001 report (Report) of the Medicare Payment Advisory Commission (MedPAC), Medicare in Rural America. In this paper, the Panel comments on MedPAC’s recommendations and offers a critique …
View report The enactment of the Balanced Budget Act of 1997 (BBA) dramatically changed the context for discussions of Medicare policy. Two major pathways for discussion were identified: Appropriate and equitable payment for services, either through traditional fee-for service (FFS) Medicare payments or through Medicare+Choice monthly premiums; and Appropriate and necessary changes to the program …
Continue reading “Redesigning Medicare: Considerations for Rural Beneficiaries and Health Systems”
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View Report This paper summarizes provisions of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) and assesses the impact of those provisions on rural health care delivery. Congress passed BIPA on December 15, 2000, and President Clinton signed it on December 21. This report was written by Health Panel members: …
View Report This paper was jointly prepared by the Maine Rural Health Research Center and the RUPRI (Rural Policy Research Institute) Rural Health Panel to offer a rural perspective on the current debate over the design and implementation of a Medicare prescription drug benefit. Background information on rural Medicare beneficiaries’ need for, and access to, …
View Draft Report The enactment of the Balanced Budget Act of 1997 (BBA) changed dramatically the context for discussions of Medicare policy. Policy discussions since the BBA have sharpened two major pathways for dialogue/debate: appropriate and equitable payment for services, either through traditional Medicare fee-for-service payments or through Medicare+Choice monthly premiums; and appropriate and necessary …
The Area Wage Index of the Medicare Inpatient Hospital Prospective Payment System: Perspectives, Policies, and Choices View Policy Paper This policy paper discusses the positions of various rural health advocates on the wage index and recording the actions taken by Congress and the Health Care Financing Administration (HCFA) to improve the wage index.Finally, it outlines …
Continue reading “The Area Wage Index of the Medicare Inpatient Hospital Prospective Payment System”
View Policy Paper This Policy Paper combines the work from current projects of the Maine Rural Health Research Center (MRHRC) and the Rural Health Panel of the Rural Policy Research Institute (RUPRI) to provide a statement of specific rural considerations and objectives for any proposal that would add a prescription drug benefit to the Medicare …
View policy brief This policy brief explains how the area wage index is calculated and used, and identifies the major unresolved issues related to its calculation and use. This report was written by Anthony Wellever (Delta Rural Health Consulting and Research) in collaboration with RUPRI Health Panel Members: Andrew Coburn, Charles Fluharty, J. Patrick Hart, …
View Report This Policy Paper provides a critique of two proposals to redesign the Medicare program: the “Medicare Preservation and Improvement Act of 1999” (S. 1895, introduced by Senator Breaux and others) and “The President’s Plan to Modernize and Strengthen Medicare for the 21st Century.” Rural implications of the proposals are discussed, specifically how they …
Continue reading “A Rural Assessment of Leading Proposals to Redesign the Medicare Program”
View Report This policy brief describes the experience to date with the Medicare+Choice program, focusing on changes in enrollment and plan formationthrough Fall 1999. We include a particular focus on changes occurring inrural counties. This updates previous reports by the RUPRI Health Panelon the progress of the Medicare+Choice program. This report was written by Health …
Continue reading “A Report on Enrollment: Rural Medicare Beneficiaries in Medicare+Choice Plans”
Rural Policy Research Institute
The University of Iowa
College of Public Health
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