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Rural Health
Resources by Topic: Accountable Care Organizations

Continuing on the Road to Value
Slides presented at the 2019 Illinois Critical Access Hospital Network (ICAHN) Annual Conference discussing management methods and policy initiatives for transitioning hospitals to value-based care.
Author(s): Keith Mueller
Date: 11/2019
Type: Presentation Slides
Sponsoring organization: Rural Policy Research Institute
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Financial Incentives to Improve Community Health
Slides presented at the 2019 National Organization of State Offices of Rural Health (NOSORH) Annual Meeting discussing several federal initiatives as a result of the Affordable Care Act (ACA), including the Medicare Shared Savings Program and Accountable Care Organizations (ACOs), resulting in controlled costs, improved quality of care, and offering financial incentives. Identifies how State Offices of Rural Health can support health organizations to participate successfully in these initiatives.
Author(s): Keith Mueller
Date: 10/2019
Type: Presentation Slides
Sponsoring organization: National Organization of State Offices of Rural Health
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Medicare Payment Basics: Accountable Care Organizations Payment Systems
Provides an overview of the payment mechanisms associated with Medicare's Accountable Care Organization (ACO) programs: the Medicare Shared Savings Program (MSSP), and the Next Generation ACO demonstration. Discusses the changes effective July 2019 to two MSSP tracks: BASIC and ENHANCED, and the risks involved with each one.
Date: 10/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluation of the Accountable Care Organization Investment Model: AIM Implementation and Impacts over Two Performance Years
Evaluation examining the first two years of the ACO Investment Model (AIM), which tests the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas (Test 1) and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk (Test 2). Reports on AIM ACO composition, including rurality. Appendices include detailed information on each AIM ACO.
Additional links: Appendices, Findings at a Glance
Date: 09/2019
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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RHC - Becoming a Primary Care Medical Home
Provides a webinar recording discussing how a Rural Health Clinic (RHC) can become a Patient-Centered Medical Home (PCMH). Presentation focuses on one RHC in the Mississippi Delta that became both a PCMH and an Accountable Care Organization and details the challenges and benefits of the transition. Includes an audio recording, slides, and a webinar transcript. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Audio Recording, Presentation Slides, Transcript
Date: 08/2019
Type: Video/Multimedia
Sponsoring organizations: Federal Office of Rural Health Policy, National Association of Rural Health Clinics
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Small Rural Hospital Transition (SRHT) Project Guide: A Rural Hospital Guide to Improving Care Management: 2019 Update
A guide for rural hospital leadership that identifies best practices in care management. Addresses care management roles and staffing needs and covers utilization review and discharge planning. Helps identify opportunities for process improvement. Also discusses competencies needed to transition to a value-based reimbursement environment focused on population health.
Author(s): Stroudwater
Date: 08/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Accelerating Value-Based Payment in California's Federally Qualified Health Centers: Options for Medicaid Health Plans
Highlights examples of value-based payment (VBP) models for Federally Qualified Health Centers (FQHCs), including a rural Hawaii model and a Colorado model that incorporates rural FQHCs. Covers Accountable Care Organization (ACO) models, state-led Capitated Alternative Payment Models (APMs), state-led quality payment adjustments, and Medicaid shared savings ACO models. Addresses how FQHCs and health plans can overcome challenges when launching new VBP models and offers recommendations for California's health plans.
Date: 08/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Community Care Alliance, a Western Health Care Alliance Company
Interviews leaders of a health network in rural Colorado that is an Accountable Care Organization (ACO) regarding their network organization, accomplishments, challenges, and best practices. Addresses data analytics and financial measures for evaluating network progress and impact.
Date: 08/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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ACOs' Strategies for Transitioning to Value-Based Care: Lessons From the Medicare Shared Savings Program
Describes strategies used by successful Accountable Care Organizations (ACOs) to reduce spending and increase healthcare quality. Addresses social determinants of health, behavioral health, reducing hospitalizations, using technology to share information, and more. Two of the 20 ACOs included in the study served rural communities.
Date: 07/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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The Interface of Policy Dynamics and Transforming Rural Health Care Services
Slides presented at the 2019 Western Region Flex Conference discussing the effect of public policy transformation on rural healthcare. Identifies policy initiatives and responses taken by healthcare organizations and management. Highlights new models of approaches, collaborations, and partnerships to sustain programs and services.
Author(s): Keith Mueller
Date: 06/2019
Type: Presentation Slides
Sponsoring organization: Rural Policy Research Institute
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