Clint MacKinney
Biographic Data
| ID | 8925015 |
|---|---|
| NAME | Clint MacKinney |
| GIVEN NAMES | Clint |
| FAMILY NAME | MacKinney |
| SIGNATURE | MACKINNEY C |
| AFFILIATIONS | University of Iowa |
| ORCID | 0000-0002-0654-1081 |
| VERIFIED | Yes |
| TOTAL WORKS | 11 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 11 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1996 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 0 |
Modernizing payment to critical access hospitals: A proposal for the next iteration of the Flex Program
The landmark Medicare Rural Hospital Flexibility Program (Flex) was enacted in 1997 as a public-policy answer to the untenability of the prospective payment system (PPS) applied to low-volume and/or rural hospitals. Fundamentally, the Flex originated the critical access hospital (CAH) designation that would receive cost-based reimbursement (CBR) for Medicare services. The Flex Program did more, however, including supporting rural emergency medica…
Policy implications of fixed‐to‐total‐cost ratio variation across rural and urban hospitals
PURPOSE: Hospitals with lower fixed-to-total-cost ratios may be better positioned to remain financially viable when reducing service volumes required by many value-based payment systems. We assessed whether hospitals in rural areas have higher fixed-to-total-cost ratios, which would tend to create a systematic disadvantage in such an environment. METHODS: Our observational study used a mixed-effects, repeated-measures model to analyze Medicare Ho…
Medicare accountable care organization characteristics associated with participation in 2‐sided risk
PURPOSE: To examine the associations of accountable care organization (ACO) characteristics with the likelihood of participation in 2-sided risk tracks in the Medicare Shared Savings Program (SSP). METHODS: CMS ACO Public Use Files and Provider-Level Research Identifiable Files were used to trace Medicare ACOs' participation in the SSP between 2012 and 2020 and measure ACO characteristics, including size, rurality of the service area, affiliation…
Development of An All‐Payer Quality Program for the Pennsylvania Rural Health Model
PURPOSE: Measuring rural health care quality is challenging, and payer and government reporting requirements are frequently misaligned. The Pennsylvania Rural Health Model, a multipayer global budget demonstration for rural hospitals, initially required the proposal of an All-Payer Quality (APQ) Program in which participating payers would have held participating hospitals accountable for performance on a common set of quality measures. We sought …
From Health Care Volume to Health Care Value—Success Strategies for Rural Health Care Providers
Are Primary Care Practices Ready to Become Patient‐Centered Medical Homes
Purpose: To measure the readiness of rural primary care practices to qualify as patient‐centered medical homes (PCMHs), one step toward participating in changes underway in health care finance and delivery. Methods: We used the 2008 Health Tracking Physician Survey to compare PCMH readiness scores among metropolitan and nonmetropolitan primary care practices. The National Committee on Quality Assurance (NCQA) assessment system served as a framewo…
The March to Accountable Care Organizations-How Will Rural Fare: The March to Accountable Care Organizations
PURPOSE: This article describes a strategy for rural providers, communities, and policy makers to support or establish accountable care organizations (ACOs). METHODS: ACOs represent a new health care delivery and provider payment system designed to improve clinical quality and control costs. The Patient Protection and Affordable Care Act (ACA) makes contracts with ACOs a permanent option under Medicare. This article explores ACA implications, usi…
Care Across the Continuum: Access to Health Care Services in Rural America
Population Health Improvement and Rural Hospital Balanced Scorecards
Understanding the Impacts of the Medicare Modernization Act: Concerns of Congressional Staff
Sweeping changes to the Medicare program embodied in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), including a new prescription drug benefit, changes in payment policies, and reform of the Medicare managed-care program, have major implications for rural health care. The most efficient mechanism for research to affect policy is to provide policy makers with information on issues about which they have voiced conc…
Physician‐to‐population Ratios
No prominent works on this page.
Physician‐to‐population Ratios
Understanding the Impacts of the Medicare Modernization Act: Concerns of Congressional Staff
Sweeping changes to the Medicare program embodied in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), including a new prescription drug benefit, changes in payment policies, and reform of the Medicare managed-care program, have major implications for rural health care. The most efficient mechanism for research to affect policy is to provide policy makers with information on issues about which they have voiced conc…
Care Across the Continuum: Access to Health Care Services in Rural America
Population Health Improvement and Rural Hospital Balanced Scorecards
The March to Accountable Care Organizations-How Will Rural Fare: The March to Accountable Care Organizations
PURPOSE: This article describes a strategy for rural providers, communities, and policy makers to support or establish accountable care organizations (ACOs). METHODS: ACOs represent a new health care delivery and provider payment system designed to improve clinical quality and control costs. The Patient Protection and Affordable Care Act (ACA) makes contracts with ACOs a permanent option under Medicare. This article explores ACA implications, usi…
Are Primary Care Practices Ready to Become Patient‐Centered Medical Homes
Purpose: To measure the readiness of rural primary care practices to qualify as patient‐centered medical homes (PCMHs), one step toward participating in changes underway in health care finance and delivery. Methods: We used the 2008 Health Tracking Physician Survey to compare PCMH readiness scores among metropolitan and nonmetropolitan primary care practices. The National Committee on Quality Assurance (NCQA) assessment system served as a framewo…
From Health Care Volume to Health Care Value—Success Strategies for Rural Health Care Providers
Development of An All‐Payer Quality Program for the Pennsylvania Rural Health Model
PURPOSE: Measuring rural health care quality is challenging, and payer and government reporting requirements are frequently misaligned. The Pennsylvania Rural Health Model, a multipayer global budget demonstration for rural hospitals, initially required the proposal of an All-Payer Quality (APQ) Program in which participating payers would have held participating hospitals accountable for performance on a common set of quality measures. We sought …
Modernizing payment to critical access hospitals: A proposal for the next iteration of the Flex Program
The landmark Medicare Rural Hospital Flexibility Program (Flex) was enacted in 1997 as a public-policy answer to the untenability of the prospective payment system (PPS) applied to low-volume and/or rural hospitals. Fundamentally, the Flex originated the critical access hospital (CAH) designation that would receive cost-based reimbursement (CBR) for Medicare services. The Flex Program did more, however, including supporting rural emergency medica…
Policy implications of fixed‐to‐total‐cost ratio variation across rural and urban hospitals
PURPOSE: Hospitals with lower fixed-to-total-cost ratios may be better positioned to remain financially viable when reducing service volumes required by many value-based payment systems. We assessed whether hospitals in rural areas have higher fixed-to-total-cost ratios, which would tend to create a systematic disadvantage in such an environment. METHODS: Our observational study used a mixed-effects, repeated-measures model to analyze Medicare Ho…
Medicare accountable care organization characteristics associated with participation in 2‐sided risk
PURPOSE: To examine the associations of accountable care organization (ACO) characteristics with the likelihood of participation in 2-sided risk tracks in the Medicare Shared Savings Program (SSP). METHODS: CMS ACO Public Use Files and Provider-Level Research Identifiable Files were used to trace Medicare ACOs' participation in the SSP between 2012 and 2020 and measure ACO characteristics, including size, rurality of the service area, affiliation…
Healthcare Policy and Management (11 works) · Medicine (11 works) · Primary Care and Health Outcomes (9 works) · Health care (8 works) · Business (7 works) · Family medicine (5 works) · Finance (5 works) · Economic growth (4 works) · Global Health Workforce Issues (4 works) · Nursing (4 works)