Trends for Rural Health Clinics and Federally Qualified Health Centers Serving Rural Medicare Beneficiaries during the 1990's
RAND CORP SANTA MONICA CA
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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 1 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, EACHRPCH 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 Health Clinics RHCs and rural Federally Qualified Health Centers FQHCs. We describe trends during the 1990s in the number, location, and utilization of these facilities by Medicare beneficiaries.
- Economics and Cost Analysis
- Medicine and Medical Research
- Medical Facilities, Equipment and Supplies