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Question: With changing the rural areas, will CMS carry this into how they compile Rural Wage Indexes and Urban CBSA wage indexes?? Hospitals subject to PPS county may be included in an urban CBSA and receive enhanced Medicare reimbursements ...

As touched on by one of the previous posters, and after conversing with my team, we believe that there should be a hub component to the definition, e.g. business hub or medical hub. Small cities in West Texas such Amarillo, Lubbock, Midland/Odessa, San ...

OK, I'll provide some scientific pushback and a word of caution!  With 87 federal definitions (by a count from a PhD candidate as part of their thesis a couple years ago), adding State-defined rural definitions is hazardous at best. Yes, it would widen ...

As touched on by one of the previous posters, and after conversing with my team, we too believe that there should be a hub component to the definition, e.g. business hub or medical hub. Small cities in West Texas such Amarillo, Lubbock, Midland/Odessa, ...