The Nebraska Center for Rural Health Research

Rural Health Policy and the
Balanced Budget Act of 1997

January 30, 1998

Author: Keith J. Mueller, Ph.D.

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Table of Contents:

Rural Health Policy and the Balanced Budget Act of 1997

Medicare: Payment Changes May Open Floodgates

Medicare Managed Care Enrollment by Payment Rate

The Changes in the Budget Act

Effects in Nebraska

PPT Slide

Provider Sponsored Organizations: A Chance for Rural?

PSO’s (2)

Current Issues in PSO Regulation

Hospital Flexibility Program

Other Medicare Changes

The Future for Medicare

The Future for Medicare (cont.)

Ah, But Then There is the Present

Ah, But Then There is the Present (cont.)

More in Payment Changes

Some Positives in Payment

Child Health Insurance in the 1997 Legislation

Child Health Insurance in the 1997 Legislation (cont.)

Changes in Medicaid, Balanced Budget Act of 1997

Grease the Skids: Federal Appropriations in Current FY

Conclusions

For Further Information on National Policies

Nebraska Center for Rural Health Research