Evaluation of Rural Community Hospital Demonstration

Client:  The Centers for Medicare and Medicaid Services

Mission Analytics, in partnership with prime contractor IMPAQ International, conducted the Evaluation of the Rural Community Hospital Demonstration (RCHD) for the Centers for Medicare and Medicaid Services, Department of Health and Human Services. The demonstration offered participating rural hospitals an alternative payment mechanism based on costs for Medicare inpatient services. The purpose of the evaluation was to assess whether this alternative payment mechanism has enabled hospitals to meet their strategic goals, improve services for their communities, and achieve financial stability. The evaluation assessed the financial impact of the demonstration, conducted market analyses based on extant publicly available extant data, and gathered information about hospital operations from qualitative interviews and document review. Findings from this evaluation were reported to Congress following the completion of the demonstration.

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