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Rural Health
Resources by Topic: Accountable Care Organizations

Community Care Integration
Profile of Southern Prairie, a 12-county collaboration facilitating integration of health services and community supports in rural southwestern Minnesota through a Medicaid Accountable Care Organization.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Health Value
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2018
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes a chapter on ensuring appropriate access to and use of hospital emergency department (ED) services that provides extensive information on rural access to ED services and identifies examples of rural off-campus emergency departments. Other sections of the report addressing rural concerns focus on post-acute care, quality and value payment programs, and medical device payment policies. Also includes a report on the effects of the Hospital Readmissions Reduction Program.
Additional links: Fact Sheet
Date: 06/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Relationships and Partnerships: How ACOs Are Improving Treatments for Super-Utilizers
Highlights three rural Accountable Care Organizations (ACOs) that are working to improve care for their super-utilizer patients. Features three success stories showing how the ACOs helped meet patient needs and improve patient health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Illinois Rural Community Care Organization – Princeton, IL: Statewide Rural Accountable Care Organization
Provides an overview of the work and impact of the Illinois Rural Community Care Organization (IRCCO), a Medicare shared savings Accountable Care Organization (ACO). IRCCO includes 24 Critical Access Hospitals and rural hospitals and associated physician practices and clinics.
Date: 03/2018
Type: Document
Sponsoring organization: American Hospital Association
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Medicare Accountable Care Organization Growth in Rural America, 2014-2016
Data report comparing accountable care organization (ACO) growth in metropolitan and nonmetropolitan counties. Features statistics including numbers of ACOs with attributed beneficiaries, beneficiaries attributed to an ACO per county, growth in percentage of fee-for-service beneficiaries, and growth in percentage of beneficiaries attributed to ACOs, with breakdowns by metropolitan and nonmetropolitan counties.
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith Mueller
Date: 03/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Critical Access Hospital R&D: Investing in Value Based Care Capacity
Discusses Critical Access Hospital research and development investments focusing on delivering healthcare under value-based payment models.
Date: 02/2018
Type: Presentation Slides
Sponsoring organization: Rural Health Value
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2018 Telehealth Reimbursement
Provides an overview of Medicare reimbursement for telehealth services and discusses factors, policies, and legislation affecting reimbursement including: geographic and originating site restrictions; provider restrictions; service restrictions; chronic care management and remote monitoring; Medicare Advantage; Accountable Care Organizations, bundled care, and telehealth. Covers Medicaid and private payer telehealth reimbursement policies.
Date: 02/2018
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Emerging Strategies to Ensure Access to Health Care Services: Frontier Health System
Discusses the challenges to providing care in frontier communities and offers solutions for improving access to and the delivery of care. Proposes the creation of a frontier-specific accountable care organization (ACO), the Frontier Health System (FHS), that provides traditional ACO services along with transportation, swing bed, home-based care, expanded visiting nurse services, and more.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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Accessing Behavioral Health Services in Rural Communities
Presentation slides discussing the affordability and availability of behavioral health services in rural communities. Covers examples in the evolution of Accountable Care Organizations (ACOs).
Author(s): Keith J. Mueller
Date: 11/2017
Type: Presentation Slides
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Medicare Payment Basics: Accountable Care Organization Payment Systems
Provides an overview of the payment mechanisms associated with Medicare's three Accountable Care Organization (ACO) programs: the Medicare Shared Savings Program (MSSP), the Next Generation ACO demonstration, and the Medicare ACO Track 1+ model.
Date: 10/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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