Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161

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Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Trends in Supply and Utilization of Rural Hospitals with Special Medicare Payments

Trends in Supply and Utilization of Rural Hospitals with Special Medicare Payments PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 95

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Book Description
The Health Care Financing Administration (HCFA) contracted with RAND to perform an analysis of Medicare spending for special payments to rural providers and their implications for access and costs of care for rural Medicare beneficiaries. Our goal was to provide a comprehensive overview of utilization and spending for these services over the last decade. Information from these trend analyses will guide our examination of future Medicare rural payment policy options. The special payment provisions examined include (I) bonus payments to physicians in rural HPSAs; (2) reimbursements to rural health clinics and federally qualified health centers; (3) special payments for sole community hospitals, Medicare-dependent hospitals, rural referral centers, EACH/RPCH hospital networks, and Medical Assistance Facilities; and (4) capitation payments in rural counties, especially in underserved areas. This report presents the preliminary findings from our analysis of rural hospitals and inpatient utilization by rural Medicare beneficiaries. We examined the numbers and distributions of rural hospitals, looking specifically at hospitals that qualify for Medicare special payments. We also considered trends in inpatient utilization and spending for rural hospital services.

Trends in Supply and Utilization of Rural Hospitals with Special Medicare Payments

Trends in Supply and Utilization of Rural Hospitals with Special Medicare Payments PDF Author: Donna Farley
Publisher:
ISBN:
Category :
Languages : en
Pages : 78

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Book Description


Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s

Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s PDF Author: Donna Farley
Publisher: Rand Corporation
ISBN: 9780833032133
Category : History
Languages : en
Pages : 192

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Book Description
This report analyzes special payments that Medicare has been making to rural providers. These special payments are intended to support the rural health care infrastructure to help ensure access to care for Medicare beneficiaries. The research provides a comprehensive overview of these payments, including documentation of the supply of providers, trends in payments, and Medicare costs per beneficiary. Four types of special payments were examined: (1) payments to sole community hospitals, Medicare-dependent hospitals, and rural referral centers; (2) reimbursements to rural health clinics and federally qualified health centers; (3) bonus payments to physicians in rural health professional shortage areas; and (4) capitation payments in rural counties.

Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s

Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s PDF Author:
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 213

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Book Description
The Centers for Medicare and Medicaid Services (CMS, formerly the Health Care Financing Administration) contracted with RAND to analyze Medicare special payments to rural providers and implications for access and costs of care for rural Medicare beneficiaries, with a focus on underserved areas. The payment provisions examined included (1) special payments for sole community hospitals, Medicare-dependent hospitals, rural referral centers, networks of Essential Access Community Hospitals and Rural Primary Care Hospitals (EACH/RPCH), and Medical Assistance Facilities; (2) reimbursements to rural health clinics and federally qualified health centers; (3) bonus payments to physicians in rural Health Professional Shortage Areas (HPSAs); and (4) capitation payments in rural counties. In addition, the effect of special payments for designated rural hospitals on Medicare Part A costs per capita was estimated. This report presents the findings of our analysis of payment trends for providers qualifying under these Medicare special payment provisions. The research results will be of interest to policymakers, researchers, and other parties involved with rural health policy or Medicare payment policy. The trend information and findings generated by the research can be used to formulate future Medicare payment policy as well as to guide subsequent research on relevant issues. The research was performed under Task 11 of Centers for Medicare and Medicaid Services Contract Number HCFA-500-96-OO56, Project Officer William Buczko.

Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s

Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 213

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Book Description
The Centers for Medicare and Medicaid Services (CMS, formerly the Health Care Financing Administration) contracted with RAND to analyze Medicare special payments to rural providers and implications for access and costs of care for rural Medicare beneficiaries, with a focus on underserved areas. The payment provisions examined included (1) special payments for sole community hospitals, Medicare-dependent hospitals, rural referral centers, networks of Essential Access Community Hospitals and Rural Primary Care Hospitals (EACH/RPCH), and Medical Assistance Facilities; (2) reimbursements to rural health clinics and federally qualified health centers; (3) bonus payments to physicians in rural Health Professional Shortage Areas (HPSAs); and (4) capitation payments in rural counties. In addition, the effect of special payments for designated rural hospitals on Medicare Part A costs per capita was estimated. This report presents the findings of our analysis of payment trends for providers qualifying under these Medicare special payment provisions. The research results will be of interest to policymakers, researchers, and other parties involved with rural health policy or Medicare payment policy. The trend information and findings generated by the research can be used to formulate future Medicare payment policy as well as to guide subsequent research on relevant issues. The research was performed under Task 11 of Centers for Medicare and Medicaid Services Contract Number HCFA-500-96-OO56, Project Officer William Buczko.

Trends in Special Medicare Payments and Service Utilization for Rural Areas

Trends in Special Medicare Payments and Service Utilization for Rural Areas PDF Author: Donna O. Farley
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 175

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Book Description


Rural Hospitals and Medicare's Prospective Payment System

Rural Hospitals and Medicare's Prospective Payment System PDF Author: Harriet L. Komisar
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 76

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Book Description


Trends for Rural Health Clinics and Federally Qualified Health Centers Serving Rural Medicare Beneficiaries During the 1990's

Trends for Rural Health Clinics and Federally Qualified Health Centers Serving Rural Medicare Beneficiaries During the 1990's PDF Author: Donna Farley
Publisher:
ISBN:
Category :
Languages : en
Pages : 54

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Book Description


A Comparison of Rural Hospitals with Special Medicare Payment Provisions to Urban and Rural Hospitals Paid Under Prospective Payment

A Comparison of Rural Hospitals with Special Medicare Payment Provisions to Urban and Rural Hospitals Paid Under Prospective Payment PDF Author: George Mark Holmes
Publisher:
ISBN:
Category :
Languages : en
Pages : 38

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Book Description


Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161

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Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.