Medicare Prospective Payment System (PPS)
Completed Projects
Cash Flow of Small Rural Hospitals: The Impact of the Medicare Outpatient Prospective Payment System
Research center:
Walsh Center for Rural Health Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health care financing,
Hospitals and clinics,
Medicare Prospective Payment System (PPS)
Comparison of Coding and Billing Practices Among Selected Small Rural and Urban Hospital Outpatient Departments
Research center:
Walsh Center for Rural Health Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Hospitals and clinics,
Medicare Prospective Payment System (PPS)
Counting Rural Health Care Facilities: A Moving Target?
Research center:
Walsh Center for Rural Health Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Home health,
Hospitals and clinics,
Medicare,
Medicare Prospective Payment System (PPS)
Factors Contributing to Unit Cost Instability in the Low-Volume Hospital
Research center:
North Carolina Rural Health Research and Policy Analysis Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Hospitals and clinics,
Medicare Prospective Payment System (PPS)
Financial Impact of Outpatient Payment Reform on Rural Hospitals
Research center:
Walsh Center for Rural Health Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health care financing,
Hospitals and clinics,
Medicare Prospective Payment System (PPS)
Financial Performance of Critical Access Hospitals, Pre- and Post-Conversion
Research center:
North Carolina Rural Health Research and Policy Analysis Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Critical Access Hospitals and Rural Hospital Flexibility Program,
Health care financing,
Medicare Prospective Payment System (PPS)
Making use of the financial indicators developed by project staff, the focus of this project is a longitudinal analysis of the dimensions and indicators of financial performance. Descriptive analyses are used to capture changes in all dimensions of financial performance pre- and post-conversion.
Home Care in Rural America
Research center:
Walsh Center for Rural Health Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Home health,
Medicare,
Medicare Prospective Payment System (PPS)
Impact of the Home Health PPS on Access in Rural America
Research center:
Walsh Center for Rural Health Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Home health,
Medicare Prospective Payment System (PPS)
This study is designed to help policymakers understand whether patterns of home care use in rural communities have been affected by the PPS. Analyses will provide information on the characteristics of the patients served, the number and mix of services rendered, and quality of care.
Impact of the Proposed Medicare Prospective Payment Reforms on Rural Hospitals in Selected States
Research center:
Walsh Center for Rural Health Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health care financing,
Hospitals and clinics,
Medicare Prospective Payment System (PPS)
Medicare Beneficiary Outcomes in Rural and Urban Home Health Agencies
Research center:
Walsh Center for Rural Health Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Home health,
Medicare Prospective Payment System (PPS),
Quality
This study will compare the performance of rural and urban home care agencies, and identify agency characteristics that contribute to better patient care outcomes.
Medicare Reform: Rural Considerations
Research center:
Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health policy,
Medicare Prospective Payment System (PPS),
Medicare Wage Index
Occupational Mix Differences Across PPS Hospitals: Analysis of Hospital Occupation Mix Survey Data and Implications for Rural Hospital Payments
Research center:
North Carolina Rural Health Research and Policy Analysis Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Hospitals and clinics,
Medicare Prospective Payment System (PPS),
Workforce
This study addresses the occupation-mix adjustment that has recently been added to the computation of the area wage index used to adjust Medicare prospective rates for all institutional health care providers. The study will review the policy objectives as well as the mechanics of the adjustment, and then analyze the data from the most recent occupation-mix survey to obtain a better understanding of occupation mix differences across labor markets and hospital types.
Rapid Response: Elimination of Bad Debt Payments to Rural PPS Hospitals
Research center:
Walsh Center for Rural Health Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health care financing,
Hospitals and clinics,
Medicare Prospective Payment System (PPS)
The purpose of this project is to examine: (1) the extent to which elimination of Medicare Bad Debt payments will reduce reimbursement to rural PPS hospitals and (2) how rural hospitals would respond to this reduction in reimbursement.
Rural Hospital Wages and the Prospective Payment System Wage Index: 1990-1997
Research center:
North Carolina Rural Health Research and Policy Analysis Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Medicare Prospective Payment System (PPS),
Medicare Wage Index
Rural Hospitals' Strategic Response to PPS for Outpatient, SNF, and HH Services
Research center:
Minnesota Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health services,
Home health,
Hospitals and clinics,
Long term care,
Medicare Prospective Payment System (PPS)
Trends in Swing Bed and Skilled Nursing Facility Use in Rural Hospitals, 1996-2003
Research center:
North Carolina Rural Health Research and Policy Analysis Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Aging,
Hospitals and clinics,
Long term care,
Medicare Prospective Payment System (PPS)
This study will examine trends in the distribution of skilled nursing facility (SNF) services in rural hospitals during a period of dramatic change in Medicare reimbursement, most notably the transition from cost-based reimbursement to SNF prospective payment system (PPS).
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