20 Reimbursement under the current Medicare fee-for-service program for education and counseling, care coordination, and ongoing monitoring is limited. Finally, chronically ill beneficiaries often do not receive
21 Alternatively, it is possible that the CAH payment mechanism is associated with a lack of improvement, because cost-based reimbursement may remove incentives to pursue efficiency; prior work shows that CAHs are less efficient than non-CAH rural hospitals, a condition that worsens the longer a ...