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Rural Health
Resources by Topic: Critical Access Hospitals

Rural Hospitals: Here Today, Gone Tomorrow
Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Type: Document
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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Delta Region Community Health Systems Development (DRCHSD) Program: 340B Drug Pricing Program Guide
Provides rural hospital administrators with information regarding the 340B Drug Pricing Program. Offers State Offices of Rural Health (SORHs) directors and Flex Program coordinators a better understanding of the process hospitals must abide by to participate in the 340B Program.
Author(s): BKD CPAs & Advisors
Date: 10/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Delta Region Community Health Systems Development (DRCHSD) Program: Best Practice Concepts in Revenue Cycle Management Guide
Offers rural hospital executives and management teams best practice concepts in revenue cycle management by assisting them in identifying performance improvement within their hospitals and departments. Provides State Offices of Rural Health (SORH) directors and Flex Program coordinators a better understanding of the revenue cycle best practices to help them design educational training programs to support rural hospital administrators with performance improvement.
Author(s): BKD CPAs & Advisors
Date: 10/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Telemedicine Spotlight: Blue Mountain Hospital, Blanding, UT
Highlights how Blue Mountain Hospital (BMH), a Critical Access Hospital (CAH) in Blanding, Utah, implemented a telemedicine program to provide services to patients needing a higher level of care in their community rather than being transferred to an urban center hospital several hours away.
Date: 10/2019
Type: Document
Sponsoring organization: Stroudwater Associates
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Qualifying Alternative Payment Model Participants (QPs) Methodology Fact Sheet: Medicare Option 2019 Performance Period
Explains the methods used by the Centers for Medicare & Medicaid Services (CMS) to determine if clinicians participating in the Medicare Advanced Alternative Payment Models (APMs), a track of the Quality Payment Program, are eligible as Qualifying Alternative Payment Model Participants (QPs), or partial QPs for the 2019 performance period. This includes eligible clinicians who receive payments for Medicare Part B services furnished at Method II Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), or Federally Qualified Health Centers (FQHCs).
Date: 10/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Quality Measures for Critical Access Hospital Swing-Bed Patients
Policy brief describing a study to identify quality measures for Critical Access Hospital (CAH) swing-bed patients, focused on outcome and functional status measures. Includes information from key informant interviews on discharge disposition and 30-day follow-up status.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 10/2019
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Estimate of Federal Payment Reductions to Hospitals Following the ACA: 2010-2029: Estimates and Methodology
Estimates the reduction in Medicare hospital payments due to sequestration from 2010 to 2019, not including reductions enacted under the Affordable Care Act (ACA). Demonstrates how other legislative acts and regulatory changes by the Centers for Medicare and Medicaid Services (CMS) reduced federal payments to hospitals over the same period. Highlights how reductions in Medicare payments for bad debt impacted Critical Access Hospitals (CAHs).
Date: 10/2019
Type: Document
Sponsoring organizations: American Hospital Association, Federation of American Hospitals
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Medicare Payment Basics: Critical Access Hospitals Payment System
Presents an overview of Medicare payments for Critical Access Hospitals (CAHs). Compares differences in Medicare payments for CAHs, Sole Community Hospitals, and Medicare-Dependent Hospitals.
Date: 10/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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CAH Participation in Flex Financial and Operational Improvement Activities, 2015–2018
Examines patterns of Critical Access Hospital (CAH) participation in activities funded by the Medicare Rural Hospital Flexibility (Flex) Program. Looks at CAHs' participation in financial and operational improvement activities, with information by various hospital characteristics including risk of financial distress.
Author(s): Kathleen Knocke, Kristin Reiter, George H. Pink
Date: 10/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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Oregon Critical Access Hospital Quality Reporting Overview Guide
Serves as a guide to help Oregon Critical Access Hospital (CAH) quality improvement officers develop and support quality improvement activities and make informed decisions when reporting their quality improvement efforts.
Author(s): Tami Youngblood, Seema Rathor
Date: 09/2019
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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