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Single-Payer Reform and Rural Health in the United States: Lessons from Our Northern Neighbor

Single-Payer Reform and Rural Health in the United States: Lessons from Our Northern Neighbor
Abstract
Single-payer health reform has secured its place in the mainstream American health policy debate, yet its implications for particular subpopulations or sectors of care remain understudied. Amidst many unanswered questions from policymakers and political pundits, rural health has emerged as one such area. This article explores rural Canada’s five-decade-long experience with a national publicly funded health insurance program as a valuable opportunity for cross-national learning. During March 2020, I conducted 13 semi-structured, elite stakeholder interviews with government officials, academic researchers, rural hospital executives, public health association leaders, rural health administrators, and representatives from provincial medical, hospital, and physician associations in Ontario. I found that a single-payer model confers notable advantages over a market-based mode ....

New York , United States , Prairie Provinces , University Of Chicago , United Kingdom , North Carolina , Anna Maria , Chapel Hill , San Francisco , Grand Forks , British Columbia , United States Department Of Agriculture , National Bureau Of Economic Research , Georgetown University , District Of Columbia , M Nawal Lutfiyya , Margaret Warner , Tonyat Neaves , Jeff Leibach , Rebeccat Slifkin , Tracey Farrigan , Jonathan Mitchell , Wesley James , Barbarae Ainsworth , Robert Gebeloff , Georgem Holmes ,

Global budgeting brings financial stability, care redesign to hospitals

Global budgeting brings financial stability, care redesign to hospitals
GETTY IMAGES
Like many hospitals, Pennsylvania’s Chan Soon-Shiong Medical Center at Windber saw its service volume collapse earlier this year after a pause in elective procedures.
CEO Tom Kurtz said the decline would have wreaked havoc on its operating revenue in previous years, but it didn’t, because this year Windber joined Pennsylvania’s Rural Health Model, a global budgeting experiment. “We protected 70% of our revenue … when our operating revenue would have been 20% to 25%,” Kurtz said. “We looked like financial geniuses to our board.”
Pennsylvania’s rural hospitals get paid a lump sum at the beginning of each year to cover all inpatient and hospital-based outpatient services for all payers under the model. According to CMS’ Center for Medicare and Medicaid Innovation, policymakers hope the demonstration bolsters rural hospitals’ financial viability to ensure continue ....

United States , John Chessare , Andy Carter , Joe Biden , Tom Kurtz , Healthsystem Association Of Pennsylvania , Health Affairs , Innovation Center , Pennsylvania Rural Health Model , Shiong Medical Center At Windber , Chan Soon Shiong Medical Center , Rural Health Model , Medicaid Innovation , Healthsystem Association , President Elect Joe Biden , ஒன்றுபட்டது மாநிலங்களில் , ஆண்டி கார்ட்டர் , ஓஹோ பிடென் , டோம் கர்ட்ஸ் , சுகாதார அமைப்பு சங்கம் ஆஃப் பென்சில்வேனியா , ஆரோக்கியம் வாழ்க்கைத்தொழில்கள் , கண்டுபிடிப்பு மையம் , பென்சில்வேனியா கிராமப்புற ஆரோக்கியம் மாதிரி , கிராமப்புற ஆரோக்கியம் மாதிரி , மருத்துவ உதவி கண்டுபிடிப்பு , சுகாதார அமைப்பு சங்கம் ,