Download or read book What States Can Do to Promote Managed Care in Rural Areas written by Tim Henderson and published by National Conference of State. This book was released on 1998-01-01 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Rural Health in the United States written by Thomas C. Ricketts and published by Oxford University Press. This book was released on 1999-10-07 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many of the 61 million people who live in rural America have limited access to health care. Almost a quarter of the nation's population lives in rural places yet only an eighth of our doctors work there. Sponsored by the U.S. Office of Rural Health Policy, this unique book provides the facts about this imbalance and interprets them in the context of government programs that promote the placement of doctors and the operation of hospitals in rural places while paying them less to treat Medicare and Medicaid beneficiaries. The authors' comprehensive analysis of rural health care delivery shows where there are differences in rates of death and disease between rural areas using maps, graphs, and plain-English descriptions. The book provides a thorough look at health care in rural America, giving a snapshot of how doctors, hospitals, and technology are unevenly distributed outside the nation's metropolitan areas.
Download or read book Market Characteristics and Managed Care Penetration in Rural Areas written by Jere A. Wysong and published by . This book was released on 1996 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Federalism and Health Policy written by Alan Weil and published by The Urban Insitute. This book was released on 2003 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.
Download or read book Introducing Medicaid Managed Care in Rural Communities written by Jere A. Wysong and published by . This book was released on 1997 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book America s Health Care Safety Net written by Institute of Medicine and published by National Academies Press. This book was released on 2000-09-04 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.
Download or read book Rural Health Providers and State Agencies written by and published by . This book was released on 2000 with total page 2 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Rural Health Care Reform written by United States. Congress. House. Committee on Agriculture and published by . This book was released on 1994 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Role of Telehealth in an Evolving Health Care Environment written by Institute of Medicine and published by National Academies Press. This book was released on 2012-12-20 with total page 159 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
Download or read book Rural Health Care written by United States. Congress. Senate. Committee on Appropriations and published by . This book was released on 1994 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Rural Health Care Issues written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1997 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Securing Medicaid s Future written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 2007 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Best Practices in Rural Medicaid Managed Behavioral Health written by David Hartley (Ph.D.) and published by . This book was released on 1998 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: OVERVIEW: Most states are currently enrolling some or all of their Medicaid population in managed care, and many are choosing to separate the financing and management of mental health from physical health benefits. These arrangements are often referred to as mental health carve-outs. In 1997, staff at the Maine Rural Health Research Center completed a study of six rural states that had implemented managed mental health in their Medicaid programs. One major finding of that study was that states have not taken advantage of the experience of other states as they implement these programs (Lambert et al, 1998). With this series of papers, we hope to encourage states that are designing or modifying their Medicaid mental health programs to consider the "best practices" of other states. These papers are designed to develop practical and useful guidance for states and managed behavioral health firms on approaches and strategies for addressing the special needs and circumstances associated with implementing a mental health carve-out in rural areas. While managed behavioral health raises many of the same concerns currently being raised about managed medical care, such as provider choice, use of financial incentives to limit appropriate care, and interference with the physician-patient relationship, this series of papers is narrowly focused on those issues with a unique rural element. In our previous study, we identified several such issues. After consulting with national experts in the field of managed behavioral health, we selected four topics for inclusion in this series. Since insufficient access to a wide variety of services has been a constant theme in rural studies, and access to mental health providers has been especially hard to achieve, we begin the series with "Measuring and Monitoring Access". Those who read all four papers will find that access and under supply of providers and services are mentioned throughout the series. Similarly, the significant role of primary care practitioners in providing mental health services in the absence of mental health specialty providers is a recurring theme in this series. These recurring themes have resulted in some repetition in the series. Since some readers may not read the entire series, we feel that such redundancy is unavoidable. Each paper can be read as a separate piece. In each paper the authors have presented some background material by way of indicating what problems exist and why this topic was chosen for the series. We then present "best practices", specific programs, policies or practices that are currently being used in one or more states to address those problems. In many cases, the interviews and research conducted by the authors turned up practices that are being considered or recommended in one or more states. We have labeled these "recommended practices" because they have not yet been tried and proven, but appear promising. Because managed behavioral health is relatively new to Medicaid programs, neither our best practices nor our recommended practices have been rigorously evaluated. Several of the states cited in these papers for their best practices are having their practices formally evaluated as required for 1115 demonstration waivers. As results of those evaluations become available, our recommendations may be modified. On the other hand, early results of evaluations have not been directed toward rural issues. It is our hope that Program Directors, policy makers, and practitioners can make use of the information in these papers, in the absence of rural-focused evaluation results. Such users may wish to contact the respective authors for the most current information on a specific practice. We expect that these programs will continue to be works in progress, with constant innovation and modification to meet the changing needs of Medicaid enrollees, and to respond to other policy initiatives such as welfare reforms, children's health insurance plans (CHIPs), and other legislative, organizational, and financing changes.
Download or read book State and Managed Care Support for Graduate Medical Education written by and published by . This book was released on 2004 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Rural Health Care Reform written by United States. Congress. Senate. Committee on Agriculture, Nutrition, and Forestry and published by . This book was released on 1995 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Increasing Access to Health Workers in Remote and Rural Areas Through Improved Retention written by World Health Organization and published by World Health Organization. This book was released on 2010 with total page 79 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accompanying CD-Rom has same title as book.
Download or read book Medicare and Managed Care written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 2001 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:
