C

California, 46–47, 74

Centers for Medicare & Medicaid Services, 1, 14, 92

Chronic care patients, 6, 19, 76–77

Community health centers, 96–97

Commuting between market areas, 4–5, 27, 29b, 33b, 34n, 37, 37n, 45–46, 47, 49, 50, 150–152. See also Smoothing labor market borders and payment areas

Comprehensive Primary Care Initiative, 117

Congress, recommendations for, 10–11, 139–140

Conrad-30 Programs, 111

Consumer Assessment of Healthcare Providers and Systems, 6, 51, 59–62, 136

Consumer satisfaction, 59–62, 60t, 100

Coordination of care, 7, 11, 19, 59, 114, 115, 117, 119

Core-based statistical areas

mapping Bureau of Labor Statistics data to, 146–147

outcomes of simulations based on Phase I recommendations, 4, 34, 37–38, 45–46, 50

smoothing methodology, 150–152, 151t

Cost of care

as barrier to access, 54

benefits of telehealth services, 81

care transitions, 117

geographic variation in practice input costs, 104, 107

health care labor markets as factor in, 18

hospital readmissions, 101

Medicare reimbursement reform initiatives, 131–132

Critical access hospitals, 10, 92–94, 92n, 139

Cross-subsidization, 23, 23n

D

Data sources

for commuting-based smoothing, 29b

for computation of hospital wage index in Phase I simulations, 155–156

for computation of physician payments in Phase I simulations, 159

for construction of geographic practice cost indexes, 34n, 35b

for construction of hospital wage index, 32b

on effectiveness of programs to improve access to care, 11, 140–141

Health Professional Shortage Areas, 3, 40

impact of Bureau of Labor Statistics data on Phase I simulations, 4, 27, 28f, 30–31, 49

quality of care, 6, 59–61

recommendations for health workforce data collection, 10–11, 139–141

recommendations from Phase I report, 1, 13, 24

study goals, 1

use of core-based statistical areas, 4, 34

on workforce supply and distribution, 7, 65–66, 118–119

Delivery of care

characteristics of well-functioning system, 52–53

determinants of quality in, 18, 19

health care labor markets as factor in, 18

reform initiatives to improve access and quality, 114–117, 131–132

study goals, 2b, 15b, 18

See also Access to care

Department of Health and Human Services, 1, 13, 103, 129–130

Disabilities, current Medicare coverage, 1, 13

Disparities

in access to care, 57, 129–130

in metropolitan and nonmetropolitan areas, 55–56, 63

in quality of care, 82, 102, 106

E

Electronic health records, 103–104

Emergency Health Personnel Act, 108

F

Florida, 45

Frontier states, 4, 5, 23n, 30, 31, 33b, 38–39, 43–44, 132

Future of Nursing, The, 82, 138–139

G

Geographic adjustment, generally

current Medicare system, 1, 13

effects on health care access and quality, 2–3, 5–6, 7, 14, 49, 51, 61–62, 82–83, 84, 104, 119, 125, 136

expected outcomes of Phase I recommendations, 2–5, 19–20

Medicare adjustments for hospitals in isolated areas, 92–96

Medicare fee schedule before, 126–127

recommendations from Phase I report, 24, 25b

study goals, 1, 13–14, 19

terminology, 15–17, 16b, 17b

value-based reimbursement and, 131–132

See also Geographic adjustment factors; Geographic practice cost indexes; Hospital wage index

Geographic adjustment factors

definition and computation, 35b



The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement