Medicare Prospective Payment System (PPS)

Current Projects

• Concordance Between Social Needs Screening Provision, Programming, and Partnerships in Rural PPS Hospitals
  This study will examine how rural Prospective Payment System (PPS) hospitals differ from urban hospitals concerning social needs screening practices and alignment between social needs screening performance and corresponding programs/strategies and/or community partnerships to address social needs.
  Research center: RUPRI Center for Rural Health Policy Analysis
  Topics: Health services, Hospitals and clinics, Medicare Prospective Payment System (PPS), Networking and collaboration, Social determinants of health
  
• Medicare Disproportionate Share Hospital and Uncompensated Care Payments Since the ACA
  This project will compare disproportionate share hospital payments and uncompensated care payments to rural and urban hospitals for the years 2013-2022.
  Research center: North Carolina Rural Health Research and Policy Analysis Center
  Topics: Medicare, Medicare Prospective Payment System (PPS)
  
• Third Party Negotiated Pricing in Rural and Urban Hospitals
  We will use third party negotiated pricing information to compare prices in urban and rural hospitals, across a variety of common services. Because there has been poor compliance with the Centers for Medicare & Medicaid Services (CMS) requirement to publish third party negotiated pricing, we will also examine if the availability of this information differs for rural and urban hospitals.
  Research center: Rural and Underserved Health Research Center
  Topics: Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), Healthcare financing, Hospitals and clinics, Medicare, Medicare Prospective Payment System (PPS), Private health insurance