The Nebraska Center for Rural Health Research

Improving Rural Health Care Delivery
in an Era of Change in Health Care Finance

October 21, 1999

Author: Keith J. Mueller, Ph.D.

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Table of Contents:

IMPROVING RURAL HEALTH CARE DELIVERY IN AN ERA OF CHANGE IN HEALTH CARE FINANCE

CHANGES IN HEALTH CARE FINANCE

CHANGES IN HEALTH CARE FINANCE (cont.)

CONVERTING THREATS TO OPPORTUNITIES

CHANGES IN THE RURAL MARKET PLACE

CHANGES IN THE RURAL MARKET PLACE (cont.)

CHANGES IN THE RURAL MARKET PLACE (cont.)

CHANGES IN THE RURAL MARKET PLACE (cont.)

IMPACT OF THE BBA

PAYMENT TO PROVIDERS: HOSPITALS

PAYMENT TO PROVIDERS: OTHERS

SYSTEM DEVELOPMENT

BENEFICIARY OPTIONS

ENROLLMENT IN MANAGED CARE INCREASING

ENROLLMENT IN MANAGED CARE INCREASING

ENROLLMENT IN MANAGED CARE INCREASING

OPPORTUNITIES FOR INSURANCE

NET IMPACTS

AH, THE WORLD WE THOUGHT WE KNEW

THE WORLD WE HAVE ENTERED

MEDICARE CHANGES TO COME

ASSUMPTIONS DRIVING CHANGE

ASSUMPTIONS DRIVING CHANGE

ASSUMPTIONS DRIVING CHANGE

ASSUMPTIONS DRIVING CHANGE

DIFFERENT APPROACHES

BRINGING IT ALL TOGETHER

ACTIONS OR OPPORTUNITIES

PREPAREDNESS

CONCLUSION

USEFUL WEB ADDRESSES

NEBRASKA CENTER FOR RURAL HEALTH RESEARCH