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Rural Medicare Advantage: modest enrollment growth in 2010. 农村医疗保险优势:2010年注册人数适度增长。
Q2 Medicine
Rural policy brief
Pub Date : 2010-08-01
Leah Kemper, Timothy D McBride, Keith Mueller
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引用次数: 0
February 2010: a dramatic shift away from private fee-for-service plans in rural Medicare Advantage enrollment. 2010年2月:农村医疗保险优惠计划的注册发生了戏剧性的转变。
Q2 Medicine
Rural policy brief
Pub Date : 2010-03-01
Leah Kemper, Timothy D McBride, M Katherine Stone, Keith Mueller

In a reversal of recent trends, private fee-for-service (PFFS) enrollment fell dramatically in rural areas in early 2010. As a result, Medicare Advantage (MA) enrollment in rural areas (excluding other prepaid plans) fell slightly in early 2010 for the first time in years. The dramatic drop in PFFS enrollment was offset by increases in enrollment in preferred provider organization (PPO) and health maintenance organization (HMO) plans. Although PFFS enrollment has driven the rapid growth of the MA program in recent years, particularly in rural areas, the MA market share held by PFFS plans in rural areas fell significantly from 52% in December 2009 to 38% in February 2010. The decline was driven by some plans leaving the market and by underutilized and duplicative plans consolidating; factors contributing to this trend include slow growth in payment rates, legislative changes requiring PFFS plans to form provider networks by 2011, and significant increases in beneficiary premiums. Nationwide, enrollment in PPO and HMO plans grew, offsetting the decline in PFFS enrollment and contributing to a slight growth in total MA enrollment in 2010.

与最近的趋势相反，2010年初农村地区私立收费服务(PFFS)的入学率急剧下降。因此，2010年初，农村地区的医疗保险优惠计划(MA)注册人数(不包括其他预付费计划)多年来首次略有下降。PFFS注册人数的急剧下降被首选提供者组织(PPO)和健康维护组织(HMO)计划注册人数的增加所抵消。尽管近年来PFFS的入学率推动了硕士项目的快速增长，特别是在农村地区，但PFFS计划在农村地区的硕士市场份额从2009年12月的52%大幅下降到2010年2月的38%。下降的原因是一些计划退出市场，以及未充分利用和重复的计划合并;造成这一趋势的因素包括支付率增长缓慢，立法变化要求PFFS计划在2011年之前形成提供者网络，以及受益人保费的大幅增加。在全国范围内，PPO和HMO计划的注册人数增加了，抵消了PFFS注册人数的下降，并促进了2010年MA总注册人数的小幅增长。
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引用次数: 0
December 2009: rural Medicare Advantage enrollment grows 15% in 2009. 2009年12月:2009年农村医疗保险优惠登记人数增长15%。
Q2 Medicine
Rural policy brief
Pub Date : 2010-01-01
Leah Kemper, Timothy D McBride, Keith Mueller
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引用次数: 0
Rural primary care physician payment 2006-2009: what a difference three years doesn't make. 2006-2009年农村初级保健医生的报酬:三年的时间并没有带来多大的改变。
Q2 Medicine
Rural policy brief
Pub Date : 2009-11-01
A Clinton MacKinney, Keith J Mueller, Mary Charlton

(1) The 2007 Medicare Physician Fee Schedule Final Rule that increased compensation for cognitive (Evaluation and Management) services at a rate exceeding increases for procedural services resulted in modest increases in rural primary care physician income in a prototypical practice. (2) A prototypical cognitive primary care practice realized a higher percentage increase in income, but a prototypical procedural practice realized a larger dollar increase in income (due to a higher 2007 baseline income). (3) However, additional changes to the Medicare Physician Fee Schedule between 2006 and 2009 reduced intended primary care physician compensation increases, resulting in only minimal increases in primary care physician income when adjusted for inflation.

(1) 2007年医疗保险医师收费表最终规则增加了认知(评估和管理)服务的报酬，其增长率超过了程序服务的增长率，导致农村初级保健医生的收入在一个原型实践中适度增长。(2)典型的认知初级保健实践实现了更高百分比的收入增长，但典型的程序性实践实现了更大的收入增长(由于2007年基线收入较高)。(3)然而，2006年至2009年间医疗保险医生收费表的额外变化减少了初级保健医生的预期薪酬增长，导致初级保健医生的收入在经通货膨胀调整后仅略有增长。
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引用次数: 0
A rural-urban comparison of a building blocks approach to covering the uninsured. 覆盖未参保人群的基本方法的城乡比较。
Q2 Medicine
Rural policy brief
Pub Date : 2009-06-01
Timothy McBride
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引用次数: 0
Impact of the recession on rural America: rising unemployment leading to more uninsured in 2009. 经济衰退对美国农村的影响:2009年失业率上升导致更多的人没有保险。
Q2 Medicine
Rural policy brief
Pub Date : 2009-06-01
Timothy McBride, Leah Kemper
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引用次数: 0
Loss of community pharmacies since 2006: state experiences. 2006年以来社区药房的减少:各州的经验。
Q2 Medicine
Rural policy brief
Pub Date : 2009-04-01
Liyan Xu, Fred Ullrich, Keith Mueller
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引用次数: 0
Rural enrollment in Medicare Part D is growing slowly. 农村地区参加医疗保险D部分的人数增长缓慢。
Q2 Medicine
Rural policy brief
Pub Date : 2009-03-01
Timothy D McBride, Leah Kemper, Keith Mueller
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引用次数: 0
Rural enrollment in Medicare Advantage: growth slows in 2008. 2008年，医疗保险优惠计划的农村参保人数增长放缓。
Q2 Medicine
Rural policy brief
Pub Date : 2009-03-01
Leah Kemper, Timothy D McBride, Keith Mueller
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引用次数: 0
Eligible but not enrolled? Potential for targeting over a half-million rural Medicare beneficiaries for enrollment in the low-income subsidy prescription drug program. 合资格但未注册?有可能将超过50万农村医疗保险受益人纳入低收入补贴处方药计划。
Q2 Medicine
Rural policy brief
Pub Date : 2008-12-01
Timothy D McBride, Keith J Mueller
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引用次数: 0
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