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Direct linkKlepser, Donald G.; Xu, Liyan; Ullrich, Fred; Mueller, Keith J. – Journal of Rural Health, 2011
Purpose: Medicare Part D provided 3.4 million American seniors with prescription drug insurance. It may also have had an unintended effect on pharmacy viability. This study compares trends in the number of pharmacies and rate of pharmacy closures before and after the implementation of Medicare Part D. Methods: This retrospective observational…
Descriptors: Pharmacy, Trend Analysis, Older Adults, Health Insurance
MacKinney, A. Clinton; Mueller, Keith J.; McBride, Timothy D. – Journal of Rural Health, 2011
Purpose: This article describes a strategy for rural providers, communities, and policy makers to support or establish accountable care organizations (ACOs). Methods: ACOs represent a new health care delivery and provider payment system designed to improve clinical quality and control costs. The Patient Protection and Affordable Care Act (ACA)…
Descriptors: Medical Services, Health Services, Patients, Rural Areas
Mueller, Keith J.; Coburn, Andrew F.; MacKinney, Clinton; McBride, Timothy D.; Slifkin, Rebecca T.; Wakefield, Mary K. – Journal of Rural Health, 2005
Sweeping changes to the Medicare program embodied in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), including a new prescription drug benefit, changes in payment policies, and reform of the Medicare managed-care program, have major implications for rural health care. The most efficient mechanism for research to…
Descriptors: Program Effectiveness, Focus Groups, Health Services, Policy Formation
Mueller, Keith J.; Coburn, Andrew F.; MacKinney, A. Clinton; McBride, Timothy D.; Slifkin, Rebecca T.; Wakefield, Mary K. – Journal of Rural Health, 2005
Sweeping changes to the Medicare program embodied in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), including a new prescription drug benefit, changes in payment policies, and reform of the Medicare managed-care program, have major implications for rural health care. The most efficient mechanism for research to…
Descriptors: Focus Groups, Policy, Access to Health Care, Pharmacy
Mueller, Keith J.; McBride, Timothy D.; Andrews, Courtney; Fraser, Roslyn; Xu, Liyan – Journal of Rural Health, 2005
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) created the Medicare Advantage (MA) program, which promotes the entry of private Preferred Provider Organization (PPO) plans into regions that have not previously had Medicare managed care plans. The assumption that a competitive environment will develop is based on…
Descriptors: Employees, Rural Areas, Personnel Management, Multivariate Analysis
