title: Despite Medicare+Choice changes, rural providers cautious about risk.
abstract: Rural providers discover why it's a tough go in the heartland for Medicare risk. Despite changes in the Medicare risk program designed to encourage managed care for seniors in rural areas, big HMOs are withdrawing from these small markets in droves. Provider groups in Nebraska working on developing their own Medicare risk plan explain the challenges.
mesh_terms: D000368:Aged; D002017:Budgets / Q000331:legislation & jurisprudence; D002204:Capitation Fee; D006279:Health Maintenance Organizations / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D020398:Medicare Part C / Q000191:economics / Q000458:organization & administration*; D020400:Provider-Sponsored Organizations / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D020414:Risk Sharing, Financial; D019035:Rural Health Services / Q000191:economics* / Q000706:statistics & numerical data; D014481:United States