The Nebraska Center for Rural Health Research

The Policy Thicket of the 21st Century

May 25, 2000

Author: Keith J. Mueller, Ph.D.

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Table of Contents:

THE POLICY THICKET OF THE 21st CENTURY

THE THICKET WE ARE IN

THE FRAGILE STATE OF RURAL HOSPITALS

BBA/BBRA IMPACTS

BBA/BBRA IMPACTS (cont.)

BBA/BBRA IMPACTS (cont.)

POLICY IMPLICATIONS

THE ISSUES FOR THE SAFETY NET

BUILDING ACUTE CARE SYSTEMS

BUILDING POST ACUTE CARE SYSTEMS

POST ACUTE CARE AND BBA ISSUES

BBRA AND POST ACUTE CARE

THE THICKET WE ARE ENTERING: MEDICARE REDESIGN

MEANING OF REDESIGN

USING THE COMPETITIVE MODEL

REDESIGNING BENEFIT PACKAGE

PROSPECTS FOR COMPROMISE AND LEGISLATION

THE APPLICABILITY OF THE COMPETITIVE MODEL IN RURAL AREAS

THE APPLICABILITY OF THE COMPETITIVE MODEL IN RURAL AREAS (CONT.)

THE APPLICABILITY OF THE COMPETITIVE MODEL IN RURAL AREAS (CONT.)

THE APPLICABILITY OF THE COMPETITIVE MODEL IN RURAL AREAS (CONT.)

THE APPLICABILITY OF THE COMPETITIVE MODEL IN RURAL AREAS (CONT.)

BENEFICIARY CHOICE FOR RURAL RESIDENTS

BENEFICIARY CHOICE FOR RURAL RESIDENTS (CONT.)

BENEFICIARY CHOICE FOR RURAL RESIDENTS (CONT.)

BENEFICIARY CHOICE FOR RURAL RESIDENTS (CONT.)

BENEFICIARY CHOICE FOR RURAL RESIDENTS (CONT.)

BENEFICIARY CHOICE FOR RURAL RESIDENTS (CONT.)

EFFECTS OF MEDICARE PAYMENT ON RURAL PROVIDERS

EFFECTS OF MEDICARE PAYMENT ON RURAL PROVIDERS (CONT.)

THE GROWING UNDERBRUSH

RUPRI AND NCRHR