Archive of Rural

Non-Emergency Medical Transportation Needs of Middle-Aged and Older Adults: A Rural-Urban Comparison in Delaware, USA

February, 2017

Data were analyzed from 39,194 NEMT users of LogistiCare-brokered services in Delaware residing in rural (68.3%) and urban (30.9%) areas. Multivariable logistic analyses compared trip characteristics by rurality designation. The results of this research indicate that differences in patient mix and the type of healthcare utilized exists, suggesting that rural patients may have special needs […]

Author

Matthew Lee Smith, Thomas R. Prohaska, Kara E. MacLeod, Marcia G. Ory, Amy R. Eisenstein, David R. Tagland, Cheryl Irmiter, Samuel D. Towne Jr., and William A. Satariano

Challenges and Opportunities in Caring for High-Need, High-Cost Medicare Patients: BPC Preliminary Findings and Policy Options

February, 2017

For risk-bearing ACOs, the shared savings (accrued through holding actual per-beneficiary spending below the benchmark) for an individual beneficiary may not cover the cost of providing some of the more expensive supports to the beneficiary on an in-kind basis. Research suggests that self-financing through shared savings is less likely to be a barrier for other […]

Author

Bipartisan Policy Center

Non-Emergency Medical Transportation Needs of Middle-Aged and Older Adults: A Rural-Urban Comparison in Delaware, USA

February, 2017

NEMT for substance use treatment was less common for the rural patients in this study. Substance use problems are not confined to urban areas; however, additional barriers in accessing treatment may exist. The percent of hospitals that offer substance use treatment services is lower in rural areas (11% vs. 27% in urban areas) and there […]

Author

Matthew Lee Smith, Thomas R. Prohaska, Kara E. MacLeod, Marcia G. Ory, Amy R. Eisenstein, David R. Tagland, Cheryl Irmiter, Samuel D. Towne Jr., and William A. Satariano