Rural Health
Resources by Topic: Health insurance
Accountable Health Communities (AHC) Model Evaluation: Third Evaluation Report
Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores which bridge organization and community characteristics were associated with better implementation outcomes, and the beneficiary-level characteristics were associated with a greater probability of accepting navigation, having at least one HRSN resolved, or having all HRSNs resolved. Examines the extent to which bridge organizations met model requirements. Includes information on the availability and quality of community resources to address HRSNs in rural communities.
Additional links: Appendices, Findings at a Glance
Date: 11/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores which bridge organization and community characteristics were associated with better implementation outcomes, and the beneficiary-level characteristics were associated with a greater probability of accepting navigation, having at least one HRSN resolved, or having all HRSNs resolved. Examines the extent to which bridge organizations met model requirements. Includes information on the availability and quality of community resources to address HRSNs in rural communities.
Additional links: Appendices, Findings at a Glance
Date: 11/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Re-Imagining Rural Health: Themes, Concepts, and Next Steps from the CMS Innovation Center "Hackathon" Series
Summarizes themes that emerged from Centers for Medicare & Medicaid Services (CMS) Innovation Center's August 2024 Rural Health Hackathons, which aimed to inform potential payment and service delivery model development and to identify innovative solutions to address the access, care delivery, and workforce needs of rural, Tribal, frontier, and geographically isolated areas communities. Describes lessons learned from previous Innovation Center models focused on rural health and how these lessons were applied during the development of new models. Outlines potential areas for the Innovation Center to explore to advance health in rural, Tribal, frontier, and geographically isolated areas.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes themes that emerged from Centers for Medicare & Medicaid Services (CMS) Innovation Center's August 2024 Rural Health Hackathons, which aimed to inform potential payment and service delivery model development and to identify innovative solutions to address the access, care delivery, and workforce needs of rural, Tribal, frontier, and geographically isolated areas communities. Describes lessons learned from previous Innovation Center models focused on rural health and how these lessons were applied during the development of new models. Outlines potential areas for the Innovation Center to explore to advance health in rural, Tribal, frontier, and geographically isolated areas.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Value-Based Care – The Payer Perspective
Summarizes discussions on rural value-based care (VBC) contracting during a July 2024 summit of leaders from national and regional healthcare payer organizations. Describes challenges facing payer organizations that serve rural beneficiaries, including engaging rural healthcare organizations in VBC; solutions to rural-specific challenges; and recommendations for rural healthcare organizations.
Date: 11/2024
Sponsoring organization: Rural Health Value
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Summarizes discussions on rural value-based care (VBC) contracting during a July 2024 summit of leaders from national and regional healthcare payer organizations. Describes challenges facing payer organizations that serve rural beneficiaries, including engaging rural healthcare organizations in VBC; solutions to rural-specific challenges; and recommendations for rural healthcare organizations.
Date: 11/2024
Sponsoring organization: Rural Health Value
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"American Indian 101": Understanding the History And Contemporary Experiences of Native People in a United States Health Policy Context
Provides information about the history of American Indian/Alaska Natives (AI/ANs) in the U.S. healthcare system, AI/AN data collection, and healthcare delivery in the Indian Health Service (IHS). Provides data on insured versus uninsured AI/ANs, insurance type, insurance via Medicaid expansion, and more.
Author(s): Quin Mudry Nelson
Date: 11/2024
Sponsoring organization: State Health Access Data Assistance Center
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Provides information about the history of American Indian/Alaska Natives (AI/ANs) in the U.S. healthcare system, AI/AN data collection, and healthcare delivery in the Indian Health Service (IHS). Provides data on insured versus uninsured AI/ANs, insurance type, insurance via Medicaid expansion, and more.
Author(s): Quin Mudry Nelson
Date: 11/2024
Sponsoring organization: State Health Access Data Assistance Center
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Impacts of Telehealth on Rural Health Care Access
Policy brief highlighting the significance and effectiveness of telehealth. Includes analysis of current telehealth policies for Medicaid, Medicare, and private payers, and examines COVID-19 impacts on telehealth. Offers policy recommendations to enhance adoption and efficacy of telehealth services, particularly in rural areas.
Date: 11/2024
Sponsoring organization: National Rural Health Association
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Policy brief highlighting the significance and effectiveness of telehealth. Includes analysis of current telehealth policies for Medicaid, Medicare, and private payers, and examines COVID-19 impacts on telehealth. Offers policy recommendations to enhance adoption and efficacy of telehealth services, particularly in rural areas.
Date: 11/2024
Sponsoring organization: National Rural Health Association
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Growing the Rural Physician Workforce: Decades of Federal Funding Impacts Rural Graduate Medical Education
A historical review of graduate medical education funding and its relationship to the supply of rural physicians. Highlights recent federal funding and policies aimed at addressing the geographic maldistribution of physicians.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2024
Sponsoring organization: Rural Health Information Hub
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A historical review of graduate medical education funding and its relationship to the supply of rural physicians. Highlights recent federal funding and policies aimed at addressing the geographic maldistribution of physicians.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2024
Sponsoring organization: Rural Health Information Hub
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Texas Rural Hospital Services Strategic Plan Progress Report, 2024
Reports on the progress, strategies, and milestones of the Texas Rural Hospital Services Strategic Plan. Discusses strategies to support rural hospitals, covering policies and initiatives related to Medicaid reimbursements, hospital revenue opportunities, challenges providing care to patients covered by Medicare and other payers, use of state funds for hospital stabilization, and infrastructure development. Provides a map of rural hospitals, Critical Access Hospitals, and Rural Emergency Hospitals in Texas.
Date: 11/2024
Sponsoring organization: Texas Health and Human Services
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Reports on the progress, strategies, and milestones of the Texas Rural Hospital Services Strategic Plan. Discusses strategies to support rural hospitals, covering policies and initiatives related to Medicaid reimbursements, hospital revenue opportunities, challenges providing care to patients covered by Medicare and other payers, use of state funds for hospital stabilization, and infrastructure development. Provides a map of rural hospitals, Critical Access Hospitals, and Rural Emergency Hospitals in Texas.
Date: 11/2024
Sponsoring organization: Texas Health and Human Services
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Preserving Rural Health Care: The Impact of Site-Neutral Payments
Policy brief describing the role off-campus hospital outpatient departments (HOPDs) play in providing essential healthcare services in rural communities. Discusses the potential impacts of site-neutral payment policies on the financial stability of rural Medicare-Dependent Hospital (MDH) and Low-Volume Hospital (LVH) off-campus HOPDs and access to care in rural areas. Offers policy recommendations to address the impacts of site-neutral payments on rural hospitals.
Date: 11/2024
Sponsoring organization: National Rural Health Association
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Policy brief describing the role off-campus hospital outpatient departments (HOPDs) play in providing essential healthcare services in rural communities. Discusses the potential impacts of site-neutral payment policies on the financial stability of rural Medicare-Dependent Hospital (MDH) and Low-Volume Hospital (LVH) off-campus HOPDs and access to care in rural areas. Offers policy recommendations to address the impacts of site-neutral payments on rural hospitals.
Date: 11/2024
Sponsoring organization: National Rural Health Association
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Medicare Claims Processing Manual Chapter 4 - Part B Hospital (Including Inpatient Hospital Part B and OPPS)
Outlines rules and regulations for processing Medicare Part B hospital claims. Covers special rules for Critical Access Hospital outpatient billing, hospital-based Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) billing for non-RHC/FQHC services, and payment adjustments for Rural Emergency Hospitals (REHs).
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Outlines rules and regulations for processing Medicare Part B hospital claims. Covers special rules for Critical Access Hospital outpatient billing, hospital-based Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) billing for non-RHC/FQHC services, and payment adjustments for Rural Emergency Hospitals (REHs).
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Rural Emergency Hospitals
Details the regulatory requirements for providers to become a Rural Emergency Hospital (REH). Provides information on REH billing for Medicare services, Medicare payments for REH services, the additional monthly facility payment, and REH quality reporting requirements.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details the regulatory requirements for providers to become a Rural Emergency Hospital (REH). Provides information on REH billing for Medicare services, Medicare payments for REH services, the additional monthly facility payment, and REH quality reporting requirements.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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