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Rural Health
Resources by Topic: Care coordination

Expanding Rural Elder Care Options: Models That Work
Proceedings from the 2008 Rural Long Term Care Access and Options Workshop, which discussed model options for home, community, and facility-based care by care coordination systems that enhance autonomy and quality of life for rural elders.
Author(s): Peter Fitzgerald, Andy Coburn, Sharon K. Dwyer
Date: 06/2009
Type: Document
Sponsoring organization: Rural Long Term Care Workgroup
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Washington, DC, February 18-20, 2009
Reports on a meeting of the National Advisory Committee on Rural Health and Human Services focused on healthcare provider integration, health workforce, and home-based care for seniors.
Date: 02/2009
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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MedPAC Report to the Congress: Increasing the Value of Medicare
Examines issues affecting the Medicare program and makes recommendations to the Congress. Topics covered include care coordination, pricing accuracy in the hospice and physician payment systems, quality measures in home health, gathering data on outpatient therapy, Medicare Advantage, the Part D prescription drug program, and cost-effectiveness analysis.
Date: 06/2006
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Innovative Primary Care Case Management Programs Operating in Rural Communities: Case Studies of Three States
Discusses state programs that provide enhanced benefits to Medicaid beneficiaries such as enhanced primary care case management (PCCM). Includes examples from three states: Florida, North Carolina, and Oklahoma.
Additional links: Findings Brief, March 2003: Design of Enhanced Primary Care Case Management Programs Operating in Rural Communities: Lessons Learned from Three States
Author(s): Pam Silberman, Stephanie Poley, Rebecca Slifkin
Date: 01/2003
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Healthcare Payment and Reimbursement Topic Guide
Resources and information on how rural healthcare providers are reimbursed by different payers and payment systems and the impact of payment policies on rural healthcare.
Type: Website
Sponsoring organization: Rural Health Information Hub
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The Virtual Patient-Centered Medical Home (PCMH): A Model for Idaho's Rural and Underserved Communities
Describes the virtual Patient-Centered Medical Home (PCMH), including benefits such as reduced cost of care and increased access to and quality of care. Discusses how telehealth and community health emergency medical services (CHEMS) will be used in the PCMH model. Includes contact information for Public Health District Small Rural Hospital Improvement (SHIP) Grant Project Managers.
Type: Document
Sponsoring organization: Idaho Department of Health and Welfare
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Allied Health Workforce Projections, 2016-2030: Community Health Workers
Offers demand projections for community health workers (CHWs) from 2016-2030, using data from the Health Resources and Services Administration's Health Workforce Simulation Model. Includes projected statistics for various care coordination scenarios, including a rural healthcare scenario.
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Maternal Opioid Misuse (MOM) Model
Overview of a CMS initiative focused on the care of pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD) through state-driven transformation of the delivery system. Supports coordination of clinical care and integration of other services critical for health, well-being, and recovery.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Care Coordination Services and Payment for Rural Health Clinics (RHCs) and Federally-Qualified Health Centers (FQHCs)
Provides instructions for payment to Rural Health Clinics (RHCs) billing under the all-inclusive rate and Federally Qualified Health Centers (FQHCs) billing under the prospective payment system for care coordination services provided to Medicare beneficiaries on or after January 1, 2018.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Care Coordination Canvas Guide
A framework and resources for developing effective care coordination programs. Includes worksheets, guides, and case studies describing different care coordination approaches: care coach, clinical, community health worker, and school-based. Based on a survey of rural health networks engaged in implementing care coordination initiatives.
Type: Website
Sponsoring organizations: National Rural Health Resource Center, Rural Health Innovations
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