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Rural Health
Resources by Topic: Accountable Care Organizations

Strengthening Primary Care and Improving Population Health: Nebraska's Approach
Explores efforts to strengthen primary care in Nebraska through Patient-Centered Medical Homes, Accountable Care Organizations (ACOs), and the Comprehensive Primary Care Plus program. Discusses the development of pilot programs and a partnership with a local nonprofit and the University of Nebraska College of Public Health.
Author(s): Martha Hostetter, Sarah Klein
Date: 04/2021
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Sustainability Strategies for Community-based Palliative Care
Summarizes themes from two roundtable discussions conducted in late 2018 with 9 rural palliative care programs in Minnesota and surrounding states. Offers examples and resources for sustainability strategies to support community-based palliative care programs.
Date: 03/2021
Type: Document
Sponsoring organization: Stratis Health
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High-Functioning Rural Medicare ACOs – A Qualitative Review
Describes the success factors common to high-performing Accountable Care Organizations (ACOs) based in rural areas of New York, Maine, Missouri and Arkansas, and New Hampshire. Examines these organizations' governance, ACO history, operations, finances, population health, and lessons learned.
Author(s): Thomas Vaughn, Keith Mueller, Clinton MacKinney
Date: 02/2021
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Continuing on the Road to Value
Slides presented at the Indiana Rural Health Association's Annual Public Policy Forum. Discusses management methods and policy initiatives for transitioning hospitals to value-based care. Includes information on the Community Health Access and Rural Transformation (CHART) Model, Accountable Care Organization (ACO) Pathways to Success, and global budgeting.
Author(s): Keith J. Mueller
Date: 01/2021
Type: Presentation Slides
Sponsoring organization: Rural Policy Research Institute
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Care Transformation Toolkit
Provides an overview of common approaches and best practices Medicare Accountable Care Organizations (ACOs) utilize to improve healthcare quality, lower healthcare costs, and enhance patient experiences. Describes ACO programs designed to use telehealth to expand access to care and improve efficiency, support high-risk beneficiaries through home visits, and provide timely access to skilled nursing care through Medicare waivers. Discusses lessons learned, options available to ACOs, and possible implementation challenges.
Date: 01/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Community Health Access and Rural Transformation (CHART) Model Notice of Funding Opportunity: Application Support Webinar
Recording of a December 3, 2020, webinar providing an overview of the Community Health Access and Rural Transformation (CHART) Model application submission and award selection process.
Additional links: Presentation Slides
Date: 12/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Community Health Access and Rural Transformation (CHART) Model Frequently Asked Questions
Provides answers to frequently asked questions regarding the Community Health Access and Rural Transformation (CHART) Model. Details the CHART Community Transformation Track, including the application process; eligibility; overlap with the ACO Transformation Track and other Center for Medicare and Medicaid Innovation (CMMI) models; operational flexibilities; payment, adjustments, and repayment; and payer participation.
Date: 12/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Community Health Access and Rural Transformation (CHART) Model State Medicaid Participation Factsheet
Provides an overview of the Community Health Access and Rural Transformation (CHART) Model, with a focus on the Community Transformation Track. Discusses the role of State Medicaid Agencies (SMA) and Memorandum of Understanding requirements, and outlines the time of required SMA activities.
Date: 11/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Comment on CMS's Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B for CY 2021
Comment on an August 17, 2020 Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of COVID-19-related telehealth expansion.
Date: 10/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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State Support to Rural Hospitals Fact Sheet
Overview of the Small Rural Hospital Improvement Program (SHIP) and the Medicare Rural Hospital Flexibility (Flex) program supporting rural hospitals and Critical Access Hospitals. Highlights with data the impact of these programs on a national level.
Date: 10/2020
Type: Document
Sponsoring organization: Health Resources and Services Administration
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