Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Final Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on access to care, health equity, and Medicare spending. Explores whether the model had unique impacts on access to home health care in rural areas.
Appendices, Findings at a Glance
Date: 09/2023 Type: Document Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research view details
A Rural Accountable Care Organization's Journey
Profiles South East Rural Physicians Alliance Accountable Care Organization (SERPA‐ACO), a physician‐led ACO consisting of 16 Nebraska clinics - 13 of which are rural. Describes various value-based payment models SERPA-ACO clinics participated in and activities the clinics use to succeed in these models. Includes recommendations for primary care clinics considering joining an ACO.
Date: 06/2023 Type: Document Sponsoring organization: Rural Health Value view details
Leveraging Career Pathway Programs: State Strategies to Combat Health Care Workforce Shortages
Provides an overview of healthcare career pathway programs states have implemented to address or mitigate workforce shortages. Describes programs across various stages of education, including K-12, community college, and undergraduate programs. Highlights two undergraduate programs focused on rural healthcare - Nebraska's Rural Health Opportunities Program and Utah's Rural and Underserved Utah Training Experience (RUUTE) - as well as a regional rural nurse practitioner residency program in Minnesota, North Dakota, and Wisconsin.
Date: 06/2023 Type: Document Sponsoring organization: National Conference of State Legislatures view details
How Often Do Households in the North Central Region Run out of Food?
Provides 2022 data on the percentage of households in the North Central Region who run out of food before they have funds to purchase groceries. Examines households by frequency of food insecurity, specific North Central Region state, race, marital status, income, education, and rural, urban, or suburban location.
Author(s): Antara Chowdhury Date: 06/2023 Type: Document Sponsoring organization: North Central Regional Center for Rural Development view details
Comparing Public Transportation Services for Rural States in the Upper Midwest and Great Plains Region
Analyzes the availability of public transportation in North Dakota, South Dakota, Montana, Wyoming, Nebraska, and Minnesota by comparing the availability of rural transit and urban transit services in these states. Includes county-level maps showing level of transportation services by days and hours available, rural trips per capita, and rural vehicle revenue miles (VRM) per capita. Provides a list of rural, tribal, and urban transit agencies by state, including those servicing medical trips.
Author(s): Jeremy Mattson, Bright Quayson, Zhila Dehdari Ebrahimi Date: 05/2023 Type: Document Sponsoring organization: Upper Great Plains Transportation Institute view details
Who Cannot Afford to Pay Medical Bills in the North Central Region?
Reports on survey respondents from the North Central Region who struggled to pay bills within the last 12 months. Provides data by state, health status, income level, employment status, business type, business profitability, household type, marital status, gender, age, and race/ethnicity. Some of the demographic groups are further broken down by rural versus urban location.
Date: 01/2023 Type: Document Sponsoring organization: North Central Regional Center for Rural Development view details