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dc.contributor.advisorStine-Cheyne, Kelleen
dc.contributor.authorLaFile, Lesley
dc.date.accessioned2021-05-03T14:21:12Z
dc.date.available2021-05-03T14:21:12Z
dc.date.issued2021-04-21
dc.identifier.urihttp://hdl.handle.net/10504/130362
dc.description.abstractThis study explored the impact of Medicare sequestration on the ability of Critical Access Hospitals (CAHs) to provide hospital-based healthcare services in a primarily rural Midwestern state. Rural populations are often identified as older, poorer and sicker than their urban counterparts. Due to the increased age of rural populations and their use of Medicare, CAH facilities are highly dependent on Medicare as their primary insurance payer source. The aim was to identify the impact of the ongoing cuts in Medicare reimbursement due to sequestration on the rural healthcare environment and in doing so, provided evidence to help support policy decisions that will address the healthcare needs of rural Americans. This research used a two-phased, explanatory sequential mixed methods approach incorporating both qualitative and quantitative data. Thirty-four CAH Chief Executive Officers (CEOs)/Administrators participated in this study that included a survey to collect quantitative data and interviews of a smaller subset of survey participants for the qualitative data collection phase. The quantitative and qualitative findings were integrated through a joint display table. Based on the findings, an educational campaign designed to inform Congressional policy makers on the negative impact the ongoing Medicare sequestration has had on access to care in rural America was proposed. With the increasing age of rural Americans, there will continue to be a growing demand for hospital-based healthcare services. The implications of this study are informed elected officials creating policy decisions to support access to hospital-based healthcare services in rural America. Keywords: Medicare sequestration, Critical Access Hospital Program, leadership, rural, public policyen_US
dc.language.isoen_USen_US
dc.publisherCreighton Universityen_US
dc.rightsCopyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University and to ProQuest following the publishing model selected above.en_US
dc.titleThe Impact of Reduced Medicare Funding on Hospital-based Healthcare Services by Critical Access Hospitals in a State in the Midwest United Statesen_US
dc.typeDissertation
dc.rights.holderLesley LaFileen_US
dc.publisher.locationOmaha, Nebraskaen_US
dc.description.noteProQuest Traditional Publishing Optionen_US
dc.contributor.cuauthorLaFile, Lesley
dc.degree.levelEdD (Doctor of Education)en_US
dc.degree.disciplineInterdisciplinary Ed.D. Program in Leadershipen_US
dc.degree.nameEd.D. Program in Leadershipen_US
dc.degree.grantorGraduate Schoolen_US
dc.degree.committeePalm, David


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