title: A rural crossroad.
abstract: The critical access hospital program is one of the few positive things for hospitals to come out of the 1997 Balanced Budget Act. It has meant salvation for the nearly 1,200 hospitals that have received the designation, and enables them to invest in facility upgrades, new equipment and additional staff. But a revamped Medicare managed care initiative threatens their payments and the Centers for Medicare & Medicaid Services and the Medicare Payment Advisory Program are taking a hard look at the program's costs. Some observers fear changes could be proposed that would weaken the CAH program.
authors.forename: Richard
authors.initials: R
authors.lastname: Haugh
mesh_terms: D000368:Aged; D002017:Budgets / Q000331:legislation & jurisprudence; D014487:Centers for Medicare and Medicaid Services, U.S.; D006297:Health Services Accessibility / Q000191:economics* / Q000331:legislation & jurisprudence; D006780:Hospitals, Rural / Q000145:classification / Q000191:economics*; D006801:Humans; D008329:Managed Care Programs / Q000191:economics*; D008484:Medicaid / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D006278:Medicare / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D020406:Medicare Payment Advisory Commission; D015397:Program Evaluation; D011907:Rate Setting and Review; D014481:United States