Rural Health
Resources by Topic: Medicare

Calendar Year (CY) 2015 Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Updates: Payment Rate Increases for RHCs and FQHCs Billing Under the All-Inclusive Rate System (AIR), and Urban and Rural Designations for FQHCs Billing Under the AIR
Provides updates for RHCs and FQHCs that are submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries.
Date: 12/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details

Markup of H.R. 8261, H.R. 7931, H.R. 8245, H.R. 8244, H.R. 8235, and H.R. 8246
Recording of a May 8, 2024, House Ways and Means Committee markup of six bills regarding rural health. Legislation covers the extension of telehealth flexibilities, location requirements for Critical Access Hospitals in mountainous areas, the rural nursing home and physician workforce, and Rural Emergency Hospital eligibility.
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee
view details

Quality Payment Program (QPP) 2022: Participation and Payment Results At-a-Glance
Provides an overview of the results of the Quality Payment Program (QPP) for the 2022 performance year. Highlights the percentage of small and rural providers receiving negative, neutral, and positive payment adjustments for 2024.
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details

2022 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2022. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, mean and median final scores for 2022 and 2024 payment adjustments, and payment adjustment trends from 2019 through 2022.
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details

2024 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
Report detailing the current state of the Medicare Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds. Discusses Medicare expenditures as a percentage of Gross Domestic Product (GDP) and makes short and long-range sustainability projections based on variable economic, demographic, and healthcare trends. Also explains the actuarial methods used to calculate the estimates. Includes information on Medicare payment policy updates since the 2023 report.
Additional links: Tables and Figures
Date: 05/2024
Type: Document
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
view details

Medicare Part D Enrollee Vaccine Use After Elimination of Cost Sharing for Recommended Vaccines in 2023
A report from the Inflation Reduction Act (IRA) Research Series that provides data on Medicare Part D enrollees who received vaccinations after the IRA legislated in 2023 that adult vaccinations recommended by the Advisory Committee on Immunization Practices (ACIP) would be provided at no cost. Includes data breakdowns of total and type of vaccinations received and Medicare Part D enrollee demographic characteristics, such as state and urban versus rural/unknown location.
Author(s): Bisma A. Sayed, Yevgeniy Feyman, Kristen L. King, et al.
Date: 05/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details

Medicare Advantage Plan Growth in Rural America: Availability of Supplemental Benefits
Examines supplemental benefits of Medicare Advantage (MA) plans, categorized as traditional health benefit, expanded health benefit, and special benefit for the chronically ill. Utilizes 2022 Centers for Medicare & Medicaid Services (CMS) data to analyze availability of and benefits offered in MA plans according to metro, micro, and noncore location. Includes county-level maps of MA data organized by U.S. region.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 05/2024
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details

The State of Medicare Supplement Coverage: Trends in Enrollment and Demographics
Provides an overview of Medicare Supplement, or Medigap, coverage and coverage options. Examines the demographics of Medicare enrollees with Medicare Supplement policies and enrollment trends. Includes demographic data on rural Medicare Supplement policyholders.
Date: 05/2024
Type: Document
Sponsoring organization: AHIP
view details

Annual Insurance Update 2024: Health Insurance in Kansas
Reports on health insurance coverage across Kansas and nationwide, including 2009-2022 trends in coverage. Presents 2021 county-level data on uninsured rates by age group and urban/rural classification, as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment by county.
Author(s): Angela S Wu, Kaci Cink, Cynthia Snyder, Wen-Chieh Lin
Date: 04/2024
Type: Document
Sponsoring organization: Kansas Health Institute
view details

April 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2024 meeting. Covers telehealth in Medicare, alternative approaches to lowering Medicare payments for select conditions in inpatient rehabilitation facilities, approaches for updating the Medicare physician fee schedule, initial findings from an analysis of Medicare Part B payment rates and 340B ceiling prices, and more. Includes discussion of telehealth in rural areas and data on telehealth use in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) between 2020 and 2022.
Additional links: Telehealth in Medicare: Status Report - Presentation Slides
Date: 04/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details