Li-Wu Chen, PhD

RUPRI Center for Rural Health Policy Analysis

Phone: 402.559.7113
Email: liwuchen@unmc.edu

RUPRI
University of Nebraska


Completed Projects - (4)

Discrepancies of Financial Data between Medicare Cost Report and Hospital Audited Financial Statement and Its Implication for Measuring Financial Impact of Payment Policy on Rural Hospitals
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Health policy, Healthcare financing, Hospitals and clinics
Examining Recent Trends and Variation in Ambulatory Care Sensitive Conditions-related Hospital Expenditures of Rural Americans with Different Health Insurance Coverage and Status
This study documents the national time-trend and regional variation of rural Ambulatory Care Sensitive Conditions (ACSC)-related hospital expenditures by patient insurance coverage/status. The study will also compare the pattern of difference in the ACSC-related expenditures of rural patients with different insurance coverage/status by patient demographic and economic characteristics as well as hospital characteristics.
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Chronic diseases and conditions, Health insurance and the uninsured, Health services, Healthcare financing
Examining the Applicability of the AHRQ's Inpatient Quality Indicators to Rural Hospitals and the Implications of the Relationship Between the Indicators and Financial Measures for Medicare Payment Policies
This study will investigate how the Agency for Healthcare Research and Quality's inpatient quality indicators can be applied to rural hospitals and will explore the application of those indicators in answering relevant policy questions.
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Health policy, Healthcare financing, Hospitals and clinics, Quality
Examining the Magnitudes, Geographic Variations, and Determinants Of Expenditures Due to Ambulatory Care Sensitive Conditions in Rural Hospitals
This project will document the magnitude of and variation in ambulatory care sensitive condition (ACSC) expenditures of rural hospitals and explore the relationships between rural hospital ACSC expenditure and its key determinants in the areas of population demand, health care system supply, and provider practice style.
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Chronic diseases and conditions, Healthcare financing, Hospitals and clinics

Publications - (6)

  • An Analysis of the Agreement of Financial Data between the Medicare Cost Report and the Audited Hospital Financial Statement
    RUPRI Center for Rural Health Policy Analysis
    Date: 05/2004
    Few studies have examined the discrepancies between the Medicare Cost Report (MCR) and the audited hospital financial statement (FS). Findings from this study, which focused on the MCR and FS for rural hospitals, suggest that relying on a single source of financial data to assess the financial performance of rural hospitals may be inappropriate.
  • Assessing the Financial Effect of Medicare Payment on Rural Hospitals: Does the Source of Data Change the Results?
    RUPRI Center for Rural Health Policy Analysis
    Date: 11/2005
    Explores how predictions of changes in hospital financial performance differ when comparing results using data from the Medicare Cost Report (MCR) to data from the audited hospital financial statement (FS). Results indicate that using the MCR rather than FS data is more valid.
  • Electronic Health Records Adoption: Rural Providers' Decision-Making Process
    Policy Brief
    RUPRI Center for Rural Health Policy Analysis
    Date: 10/2008

    This brief reports findings of a study that examined the decision-making process that small rural physician clinics and hospitals use as they investigate and select an electronic health record (EHR) system. Policy makers can use the study findings to understand the challenges that rural health care providers may face in the process of adopting EHRs and to develop incentives that promote the use of health information technology in rural America.

  • National Rural Hospital Charges Due to Ambulatory Care Sensitive Conditions
    RUPRI Center for Rural Health Policy Analysis
    Date: 12/2007
    Documents the national magnitude of charges associated with hospitalizations due to ambulatory care sensitive conditions in rural hospitals.
  • Regional Variation in Rural Hospital Charges Due to Ambulatory Care Sensitive Conditions
    Policy Brief
    RUPRI Center for Rural Health Policy Analysis
    Date: 12/2007
    Estimates and documents the regional magnitude of charges associated with hospitalizations due to ambulatory care sensitive conditions in rural hospitals.
  • Rural Hospital Charges Due to Ambulatory Care Sensitive Conditions in the United States, by Insurance Type, 2000 to 2004
    RUPRI Center for Rural Health Policy Analysis
    Date: 08/2011
    In this policy brief, we report findings from a study that used nationwide hospital inpatient discharge data to examine the trends and regional variations of rural hospital charges due to ambulatory care sensitive conditions (ACSCs) in the United States, by insurance type, from 2000 to 2004. Hospital charges due to ACSCs are reported by region and payment source. Changes in the percentage of hospital charges generated by ACSCs may indicate opportunities for cost savings through use of care management. The data presented in this policy brief indicate potential benefit from targeting resources designed to support ambulatory primary care.