Rural Health Sources of Reimbursement
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There are several sources of reimbursement for health-care service delivery in rural areas, which are primarily divided into public and private. For 1975-1976, general taxation accounted for $44,310 million for the United States; while public insurance accounted for $17,232 million; private insurance was responsible for $33,618 million; direct payment was responsible for $39,425; and, "Other" accounted for $4,427 million (Maxwell, 1981, p. 163). For the 1975-1976 period, the United States reimbursed health-care delivery at a rate of 42.7% public funds, with the remainder being private (p. 60). Finkel (1985, p. 4) reports that, for 1981 and 1985, the total (i.e., public and private) national health-care delivery expenditures equaled respectively $278,543 and $462,229. Lewis, Fein and Mechanic (1976, p. 144) report that Medicare and Medicaid are the primary public sources for reimbursement, while private sources include insurance companies, employers, and other entities. Medicare was implemented subsequent to the enactment of the 1965 Social Security Amendments, Title XVII specifically, which modified the 1935 Social Security Act. While the 1935 Social Security Act expanded public health activities, among providing other socially-oriented services, the 1965 Amendments allowed for the provision of health-care services specifically for the elderly who receive Social Security. In addition, other individuals who are in the Qualified
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trast, those community/rural hospitals with 25-49 beds had an overall operating margin of 1.5%, which represented a -4.8% change between 1980 and 1986. For those community/rural hospitals having 25 or fewer beds, the actual 1986 percentage was 6.3. For admission rates, there was a -8.0% for all hospitals between 1980 and 1986. For community/rural hospitals having 25-49 beds, there was a percentage change during the same time-frame of -39.8. For those community/rural hospitals having 25 or fewer beds during this same period, the percentage change was -44.8. Regarding occupancy rates, community/rural hospitals also fared poorly. Note that, for all hospitals between 1980 and 1986, there occurred a -16.1% change in the occupancy rate. For community/rural hospitals during this same time-frame having 25-49 beds, there was a percentage change of -36.7. The actual percentage for 1986 was 33.2% for these hospitals, versus 63.2% for all hospitals. For those community/rural hospitals having 25 or fewer beds, the percentage change between 1980 and 1986 was -31.7. The actual percentage for 1986 was 27.4% for these hospitals (The Institute of Medicine, 1989, p. 226).
The primary problem with allied health staffing for community/rural hosp
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Some common words found in the essay are:
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Approximate Word count = 2415
Approximate Pages = 10 (250 words per page)
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