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Medicare Payment Model Shortchanges Rural Patients, Study Finds

Penn LDI

Over 64 million Americans live in rural areas. Rural Americans are at higher risk of dying early than their urban counterparts from the five leading causes of death – many of which are preventable. Addressing urban-rural health disparities has become a national focal point, especially as states apply for funding to improve rural health through the $50 billion Rural Health Transformation Program

However, Medicare’s main tool for adjusting payments based on patient risk underpredicts mortality and overpredicts spending for rural beneficiaries, a new study by LDI Senior Fellows Kristin LinnAmol Navathe, and colleagues found. But the tool works well for urban beneficiaries.

“By adopting data-driven policy solutions,” said Linn, “CMS and other stakeholders can mitigate disparities and improve health equity for one of Medicare’s most vulnerable populations.”