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Rural Health
News by Topic: Healthcare business and finance

When Obstetrics Units Close, Rural Hospitals Save At The Expense Of Women’s Health
Dec 12, 2018 - Looks at the impact of obstetrics units in rural Texas hospitals closing. This is often caused by low Medicaid reimbursement, about 70 cents on the dollar in Texas, resulting in hospitals providing obstetric services at a loss. But when these departments close, women in rural areas face long distances for pre-natal care and delivery.
Source: Texas Standard
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A Conversation with John Roberts
Dec 11, 2018 - Radio interview with John Roberts, the Executive Director of the Nebraska Rural Health Association and President of Midwest Health Consultants, Inc. Discussion focuses heavily on the state of rural health in Nebraska, including the risk of hospital closures and state efforts towards coming up with an alternate payment model, among other things.
Source: Rural Health Leadership Radio
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CMS, HHS: Patient Protection and Affordable Care Act; Adoption of the Methodology for the HHS-Operated Permanent Risk Adjustment Program for the 2018 Benefit Year Final Rule Federal Register
Dec 10, 2018 - Notice of final rule from the Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) to adopt the risk adjustment methodology that HHS previously established for the 2018 benefit year. This action is a result of the February 2018 district court ruling that vacated the use of statewide average premium as a basis for the HHS-operated risk adjustment methodology for the 2014-2018 benefit years.
Source: Federal Register
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CMS Finalizes Rule on the Risk Adjustment Program for the 2018 Benefit Year
Dec 7, 2018 - The Centers for Medicare and Medicaid Services (CMS) released a final rule entitled "Patient Protection and Affordable Care Act; Methodology for the HHS-Operated Permanent Risk Adjustment Program for 2018." This rule reissues, with further explanation, the HHS-operated risk adjustment methodology established for the 2018 benefit year.
Source: Centers for Medicare and Medicaid Services
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CMS Office of the Actuary Releases 2017 National Health Expenditures
Dec 6, 2018 - The Centers for Medicare and Medicaid Services (CMS) Office of the Actuary released details related to overall national health spending in 2017. Breaks down spending into three categories: hospital spending, physician and clinical services spending, and retail prescription drug spending.
Source: Centers for Medicare and Medicaid Services
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CMS Strengthens Federal Support to Alaska Residents Affected by Earthquake
Dec 6, 2018 - The Centers for Medicare and Medicaid Services (CMS) announced steps it would take to support the state of Alaska and residents impacted by the recent earthquake in the state, including waivers for Skilled Nursing Facilities, special enrollment opportunities, access to dialysis care, and more.
Source: Centers for Medicare and Medicaid Services
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CMS: Medicare Program: Changes to the Medicare Claims and Medicare Prescription Drug Coverage Determination Appeals Procedures, Correction Federal Register
Dec 6, 2018 - The Centers for Medicare and Medicaid Services announces corrections to the October 10, 2018 proposed rule revising the process for filing appeals for adverse claims benefits determinations.
Source: Federal Register
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Struggling Rural Hospitals Say They’re Being Preyed Upon by Blue Cross Blue Shield
Dec 5, 2018 - Discusses the struggles that rural hospitals in Texas have had during contract negotiations with Blue Cross Blue Shield and resulting financial burdens that the hospitals face.
Source: Texas Observer
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Violated: How the Indian Health Service Betrays Patient Trust and Treaties in the Great Plains
Dec 5, 2018 - Details issues faced by Native American patients utilizing Rosebud Indian Health Service in South Dakota. Attributed to insufficient funding of the Indian Health Service (IHS), among other things, a number of patients report being adversely affected by the care provided to them here.
Source: Argus Leader
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A Conversation with Brant Couch
Dec 4, 2018 - Radio interview with Brant Couch, the President of HealthSure, the program manager for the Rural Hospital Insurance of America (RHIA). Discussion focuses heavily on the work of the RHIA and on how rural hospitals can effectively manage risk, among other things.
Source: Rural Health Leadership Radio
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