Impact of the Balance Budget Act on access to rural hospital health services for Medicaid patients.
Because of the reimbursement system and the Balanced Budget Act of 1997, rural hospitals suffered financially and the volume of services to Medicaid patients was reduced. The importance of this study stems from the debate over the effect of the prospective payment system (PPS) and the type of health insurance used for health care. If the type of insurance used, adjusted to severity of illness and case mix, has no effect on performance and the volume of services provided by the hospitals, then the type of insurance and the level of income have no effect on access to health care and treatment.
Department of Health Policy and Management, School of Public Health, Florida International University, Miami, FL, USA.
Mustafa Z
MZ
Younis
William B
WB
Cissell
D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006780:Hospitals, Rural / Q000706:statistics & numerical data*; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data; D007348:Insurance, Health / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D008484:Medicaid / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D010343:Patient Admission / Q000706:statistics & numerical data; D011445:Prospective Payment System / Q000458:organization & administration; D020379:Risk Adjustment; D019035:Rural Health Services / Q000706:statistics & numerical data*; D012720:Severity of Illness Index; D014481:United States