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Impacts of the Pennsylvania Rural Health Model on Health Care Access and Utilization

Organization UNIVERSITY OF PITTSBURGH AT PITTSBURGHLocation PITTSBURGH, UNITED STATESPosted 1 Nov 2023Deadline 31 Oct 2025 ⚠️
NIHUS FederalResearch GrantFY2025Access to CareAddressAffectAmbulatory CareAreaBudgetsCaringCensusesCenters for Medicare and Medicaid ServicesClinical Medical SciencesClinical MedicineCommunitiesCompensationControl GroupsDataDeath RateDiscipline of obstetricsDisincentiveEligibilityEligibility DeterminationEnsureFaceFee-for-Service PlansFees for ServiceFutureGoalsHealthHealth CareHealth Care Financing AdministrationHealth Care UtilizationHealth Catchment AreaHealth PolicyHealth Service AreaHealth Services AccessibilityHospital AdmissionHospitalizationHospitalsImprove AccessIncentivesIndividualInpatientsInterventionLiteratureMarylandMedicalMentorsMethodsMissionModelingNCMHDNIMHDNational Center on Minority Health and Health DisparitiesNational Institute of Minority Health and Health DisparitiesNational Institute on Minority Health and Health DisparitiesObstetricsOutcomeOutcome AssessmentOutpatient CarePatient outcomePatient-Centered OutcomesPatient-Focused OutcomesPatientsPennsylvaniaPerformancePhasePhysiciansPoliciesPolicy ResearchProtocol ScreeningPsychiatryPublishingQOCQuality of CareResearchRunningRuralRural CommunityRural HealthRural HospitalsRural PopulationRural groupRural peopleSavingsScientistService areaService provisionServicesSystemTimeTrainingUnited StatesUnited States Centers for Medicare and Medicaid ServicesUnited States Health Care Financing AdministrationVariantVariationaccess to health careaccess to health servicesaccess to servicesaccess to treatmentaccessibility of health careaccessibility to health careaccessibility to health servicesavailability of servicesbiomedical referral centercare accesscare coordinationcare outcomescareercohortcoordinating carecostcritical access hospitaldesigndesigningdifferences in healtheconometricsexperienceexperimentexperimental groupexperimental researchexperimental studyexperimentsfacesfacialfinancial incentivefinancial rewardfuture implementationhealth and care deliveryhealth care accesshealth care availabilityhealth care deliveryhealth care outcomeshealth care policyhealth care service accesshealth care service availabilityhealth care service usehealth care service utilizationhealth delivery systemshealth differencehealth service accesshealth services availabilityhealth services deliveryhospital carehospital serviceshospitalization ratesimprovedinnovateinnovationinnovativemonetary incentivemortality ratemortality ratiomultidisciplinarynoveloutpatient programsoutpatient servicesoutpatient treatmentpatient oriented outcomespaymentpoor health outcomepopulation healthprogramsprospectivepublic health relevancereduced health outcomereferral centerresponserural arearural health carerural individualrural localityrural locationrural patientsrural placerural regionrural settingservice availabilityservice utilizationskillssuccesstreatment accesstrendworse health outcome

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ABSTRACT
More than 130 rural hospitals in the U.S. have closed over the past decade, exacerbating challenges that residents in rural areas face accessing care and contributing to differences in health outcomes. The Pennsylvania Rural Health Model (PARHM) is a novel alternative payment model (APM) intended to ensure the financial viability of rural…

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