Rural Emergency Care: Stepping Up to the Challenge

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

Research to Policy and Practice: Sustaining Rural Health Services

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

Transforming Health Care in Rural America: Turning Change into Improvements for Rural Residents

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, […]

Transferring Risk: The Road to Health Care Value

This presentation discusses to increase health care value for rural communities by exploring how to transfer risk from payers to hospitals and physicians. Presented by A. Clinton MacKinney (Deputy Director and Assistant Professor, RUPRI Center for Rural Health Policy Analysis) to the Rural Health Leadership Conference February 10-13, 2013. View Presentation

The Current and Future Role and Impact of Medicaid in Rural Health

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 […]

The High Performance Rural Health Care System of the Future

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 […]

Place-Based Policies and Public Health

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 […]

Securing High Quality Health Care in Rural America: The Impetus for Change in the Affordable Care Act

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 […]

Assessment of Proposals for a Medicare Outpatient Prescription Drug Benefit: The Rural Perspective

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, […]

Comments on the June 2001 Report of the Medicare Payment Advisory Commission: “Medicare in Rural America”

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 […]

Redesigning Medicare: Considerations for Rural Beneficiaries and Health Systems

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 […]

Rural Implications of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000

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: […]

Designing a Prescription Drug Benefit for Rural Medicare Beneficiaries: Principles, Criteria and Assessment

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, […]

Redesigning the Medicare Program: An Opportunity to Improve Rural Health Care Systems?

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

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 […]

Improving Prescription Drug Coverage for Rural Medicare Beneficiaries: Key Rural Considerations and Objectives For Legislative Proposals

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 […]

Calculating and Using the Area Wage Index of the Medicare Inpatient Hospital Prospective Payment System

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, […]

A Rural Assessment of Leading Proposals to Redesign the Medicare Program

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 […]

A Report on Enrollment: Rural Medicare Beneficiaries in Medicare+Choice Plans

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 […]