Rural Health
Resources by Topic: Accountable Care Organizations
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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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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Accountable Care Organizations Exiting the Medicare Shared Savings Program: Policy and Organizational Determinants
Poster presented at the 2019 AcademyHealth Annual Research Meeting on trends in Accountable Care Organization (ACO) exits. Identifies organizational factors such as rural/urban location affecting ACO exit, as well as policy-related motivations, such as financial incentives.
Author(s): Huang Huang, Xi Zhu, Keith Mueller, Clinton MacKinney
Date: 06/2019
Type: Document
Sponsoring organization: University of Iowa College of Public Health
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Poster presented at the 2019 AcademyHealth Annual Research Meeting on trends in Accountable Care Organization (ACO) exits. Identifies organizational factors such as rural/urban location affecting ACO exit, as well as policy-related motivations, such as financial incentives.
Author(s): Huang Huang, Xi Zhu, Keith Mueller, Clinton MacKinney
Date: 06/2019
Type: Document
Sponsoring organization: University of Iowa College of Public Health
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Lower Health Care Costs Act
Recording of a U.S. Senate Committee on Health, Education, Labor and Pensions hearing on the Lower Health Care Costs Act, which covers access to healthcare, surprise medical bills, market competition, drug prices, and other issues. Includes testimony from an organization that works primarily with small and rural practices, the American Hospital Association, American Enterprise Institute, and others.
Additional links: Benedic N. Ippolito Testimony, Sean Cavanaugh Testimony, Tom Nickels Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Recording of a U.S. Senate Committee on Health, Education, Labor and Pensions hearing on the Lower Health Care Costs Act, which covers access to healthcare, surprise medical bills, market competition, drug prices, and other issues. Includes testimony from an organization that works primarily with small and rural practices, the American Hospital Association, American Enterprise Institute, and others.
Additional links: Benedic N. Ippolito Testimony, Sean Cavanaugh Testimony, Tom Nickels Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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The Center for Medicare and Medicaid Innovation 2018 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2016 and 2018. Addresses Accountable Care Organization (ACO) models, population-based payment models, bundled payment models, and models that integrated Medicaid and Medicare beneficiary care. Identifies model adaptations for rural health organizations, such as the ACO Investment model, and includes a section on the Pennsylvania Rural Health Model.
Date: 04/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2016 and 2018. Addresses Accountable Care Organization (ACO) models, population-based payment models, bundled payment models, and models that integrated Medicaid and Medicare beneficiary care. Identifies model adaptations for rural health organizations, such as the ACO Investment model, and includes a section on the Pennsylvania Rural Health Model.
Date: 04/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Meeting Needs in Rural Health: Research, Action, Policy
Provides slides from a presentation at the 2019 American Hospital Association Rural Health Care Leadership Conference. Focuses on rural Accountable Care Organizations (ACOs), what happens after hospital closures, and opportunities for advancing rural health based on recommendations from RUPRI Health Panel. Includes maps showing non-metropolitan county locations of ACOs over time.
Author(s): Keith J. Mueller
Date: 02/2019
Type: Presentation Slides
Sponsoring organization: Rural Policy Research Institute
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Provides slides from a presentation at the 2019 American Hospital Association Rural Health Care Leadership Conference. Focuses on rural Accountable Care Organizations (ACOs), what happens after hospital closures, and opportunities for advancing rural health based on recommendations from RUPRI Health Panel. Includes maps showing non-metropolitan county locations of ACOs over time.
Author(s): Keith J. Mueller
Date: 02/2019
Type: Presentation Slides
Sponsoring organization: Rural Policy Research Institute
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Predictive Analytics Shape Care Processes
Reports on an Accountable Care Organization (ACO) model in Maine that uses a predictive analytics platform in conjunction with Maine's statewide health information exchange (HIE) to prescribe care management interventions based on patient risk. Describes the predictive analytics system, discusses how the ACO is using it to manage care, and highlights future plans, such as targeting patients hospitalized for an opioid overdose and integrating social determinants of health data.
Date: 11/2018
Type: Document
Sponsoring organization: Rural Health Value
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Reports on an Accountable Care Organization (ACO) model in Maine that uses a predictive analytics platform in conjunction with Maine's statewide health information exchange (HIE) to prescribe care management interventions based on patient risk. Describes the predictive analytics system, discusses how the ACO is using it to manage care, and highlights future plans, such as targeting patients hospitalized for an opioid overdose and integrating social determinants of health data.
Date: 11/2018
Type: Document
Sponsoring organization: Rural Health Value
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MedPAC Comment on CMS's Proposed Rule on Medicare Shared Savings Program ACOs
Comments on an August 17, 2018, Federal Register proposed rule changing the Medicare Shared Savings Program (MSSP). Focuses on the proposed changes for Accountable Care Organizations (ACOs), including a move to two-sided risk models, using regional spending benchmarks, and more. Addresses potential impacts for small ACOs, which include rural ACOs.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an August 17, 2018, Federal Register proposed rule changing the Medicare Shared Savings Program (MSSP). Focuses on the proposed changes for Accountable Care Organizations (ACOs), including a move to two-sided risk models, using regional spending benchmarks, and more. Addresses potential impacts for small ACOs, which include rural ACOs.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Grantee Sourcebook: Rural Health Network Development Grant Program, 2014-2017
Detailed descriptions of 54 Rural Health Network Development grant projects funded during the 2014-2017 period. Includes an overview of the networks and their impact, a list of grantees by state and focus area, and grantee profiles providing contact information and in-depth project descriptions.
Date: 08/2018
Type: Document
Sponsoring organizations: Federal Office of Rural Health Policy, National Rural Health Resource Center
Detailed descriptions of 54 Rural Health Network Development grant projects funded during the 2014-2017 period. Includes an overview of the networks and their impact, a list of grantees by state and focus area, and grantee profiles providing contact information and in-depth project descriptions.
Date: 08/2018
Type: Document
Sponsoring organizations: Federal Office of Rural Health Policy, National Rural Health Resource Center
Related funding:
Rural Health Network Development Program
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Advanced Primary Care: A Key Contributor to Successful ACOs
Reviews the literature on accountable care organizations (ACOs) regarding characteristics of successful ACOs and outcomes for cost, quality, and utilization, including literature on rural ACOs. Analyzes Medicare and National Committee for Quality Assurance (NCQA) data on ACO cost and quality outcomes to assess the role of advanced primary care models such as patient-centered medical homes on ACO success.
Author(s): Yalda Jabbarpour, Megan Coffman, Andy Habib, et al.
Date: 08/2018
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Reviews the literature on accountable care organizations (ACOs) regarding characteristics of successful ACOs and outcomes for cost, quality, and utilization, including literature on rural ACOs. Analyzes Medicare and National Committee for Quality Assurance (NCQA) data on ACO cost and quality outcomes to assess the role of advanced primary care models such as patient-centered medical homes on ACO success.
Author(s): Yalda Jabbarpour, Megan Coffman, Andy Habib, et al.
Date: 08/2018
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Spread of Medicare Accountable Care Organizations in Rural America
Analyzes data describing Medicare Accountable Care Organization (ACO) growth in non-metro U.S. counties from 2016 to 2017. Includes data on Medicare ACOs by metro and non-metro status and data on those Medicare ACOs participating in the ACO Investment Model (AIM) initiative by metro and non-metro status.
Author(s): Nora Kopping, Fred Ullrich, Keith Mueller
Date: 08/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Analyzes data describing Medicare Accountable Care Organization (ACO) growth in non-metro U.S. counties from 2016 to 2017. Includes data on Medicare ACOs by metro and non-metro status and data on those Medicare ACOs participating in the ACO Investment Model (AIM) initiative by metro and non-metro status.
Author(s): Nora Kopping, Fred Ullrich, Keith Mueller
Date: 08/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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