Rural hospitals and Medicare"s prospective payment system
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Rural hospitals and Medicare"s prospective payment system

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Published by Congress of the U.S., Congressional Budget Office in Washington, D.C .
Written in English


  • Rural hospitals -- Prospective payment -- United States.,
  • Medicare -- Claims administration

Book details:

Edition Notes

SeriesA CBO study
ContributionsUnited States. Congressional Budget Office
The Physical Object
Paginationxiv, 55 p. ;
Number of Pages55
ID Numbers
Open LibraryOL13613910M

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CBO STUDY ON RURAL HOSPITALS AND MEDICARE'S PROSPECTIVE PAYMENT SYSTEM During the last several years, numerous rural hospitals have experienced financial difficulties and some have closed. Many people are concerned that a continuation of these patterns might reduce access to hospital care in rural areas. Rural hospitals represent more than half of all hospitals in the United States, providing essential access to inpatient, outpatient, and emergency medical services in rural communities. FORHP provides technical assistance and support to address the unique needs of rural hospitals through the following programs. Learn more about the Hospital State Division at FORHP (PDF - This number represents virtually percent of “PPS-eligible” hospitals (that is, short-stay acute care hospitals subject to the new payment system). Because Medicare prospective payment began with the start of the hospital's cost reporting year, rather than the Federal fiscal year, the number of PPS hospitals increased throughout the Cited by: The 21st Century Rural Hospital: A Chart Book, a publication from the North Carolina Rural Health Research Program, reports on services available at short-term, acute care hospitals in rural and urban counties. As might be expected, most of these services are available in more urban hospitals than rural hospitals. There are a few.

  DOI: /JOP Journal of Oncology Practice - published online before print Septem PMID: Medicare's Hospital Outpatient Prospective Payment System: OPPS (part 2 of 2)Cited by: 5. Medicare s new outpatient prospective payment system (OP-PPS) is expected to have significant repercussions for hospitals, especially small rural hospitals. Currently, rural hospitals with fewer than beds are protected from financial loss by a temporary "hold . Acute Care Hospital Inpatient Prospective Payment System MLN Booklet Page 9 of 18 ICN February CMS adjusts the labor-related portion or labor . Potentially preventable hospital readmissions (PPRs) among Medicare patients are examples of inefficiencies in the healthcare system. This study estimated PPRs in three types of acute care hospitals: urban prospective payment system (PPS), rural PPS, and critical access hospitals. Potentially Preventable Readmissions in Rural Hospitals Policy.

In Congress changed the way Medicare pays for hospital care. Under the new prospective payment system, hospitals are paid a fixed rate, set in advance, to cover a patient’s stay. A total of 2, urban hospitals and 1, rural hospitals were included in the simulation analyses. As a group, urban hospitals would have experienced an average percent reduction and rural hospitals would have incurred an average percent reduction in reimbursement if Medicare had ceased bad debt reimbursements (refer to Table 1). Abstract. Using data from and , we examined how Medicare's prospective payment system affected hospitals. The study showed that hospitals paid through the prospective payment system had Cited by: § Special treatment: Medicare -dependent, small rural hospitals. (1) General considerations. For cost reporting periods beginning on or after April 1, , and ending before October 1, , or for discharges occurring on or after October 1, , and before October 1, , a hospital is classified as a Medicare -dependent, small.