Rural Health
Resources by Topic: Health insurance
Improving Hospital Transfers: A Step Toward Equitable, Patient-Centered Acute Care
Discuss emergency department (ED) transfers, including the importance of timely transfers, where patients transferred from the ED are more likely to initially present, and how transferred patients are considered in hospital quality metrics. Identifies three ways to incentivize hospital coordination to improve patient-centered care for transfer patients.
Author(s): Charleen Hsuan
Citation: Health Affairs Forefront
Date: 09/2023
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Discuss emergency department (ED) transfers, including the importance of timely transfers, where patients transferred from the ED are more likely to initially present, and how transferred patients are considered in hospital quality metrics. Identifies three ways to incentivize hospital coordination to improve patient-centered care for transfer patients.
Author(s): Charleen Hsuan
Citation: Health Affairs Forefront
Date: 09/2023
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Final Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on access to care, health equity, and Medicare spending. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on access to care, health equity, and Medicare spending. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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Health Panel Comment Letter - 2024 Physician Fee Schedule and Medicare Part B Proposed Rule
Comments offered in response to a July 13, 2023, Federal Register proposed rule revising the Medicare Physician Fee Schedule. Includes discussions on telehealth services, services addressing health-related social needs, advancing access to behavioral health services, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and the Medicare Shared Savings Program.
Date: 09/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Comments offered in response to a July 13, 2023, Federal Register proposed rule revising the Medicare Physician Fee Schedule. Includes discussions on telehealth services, services addressing health-related social needs, advancing access to behavioral health services, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and the Medicare Shared Savings Program.
Date: 09/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Telehealth Use and Experiences Among California Adults
Brief outlining 2021 telehealth use and satisfaction by various California populations. Includes usage by insurance type, race and ethnicity, primary language, and more. Data breakdown includes rural residence.
Date: 09/2023
Sponsoring organization: California Health Care Foundation
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Brief outlining 2021 telehealth use and satisfaction by various California populations. Includes usage by insurance type, race and ethnicity, primary language, and more. Data breakdown includes rural residence.
Date: 09/2023
Sponsoring organization: California Health Care Foundation
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MedPAC Comment on CMS's Proposed Rule on the Outpatient Prospective Payment System for FY 2024
Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Physician Prospective Payment System for FY 2024
Comment on the August 7, 2023, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes discussions on payment rates for Medicare telehealth services; the Medicare Shared Savings Program, including regional adjustments; incorporating Medicare Advantage data into public reporting; and more.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on the August 7, 2023, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes discussions on payment rates for Medicare telehealth services; the Medicare Shared Savings Program, including regional adjustments; incorporating Medicare Advantage data into public reporting; and more.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Further Extension of Grace Period Related to the "Four Walls" Requirement under 42 C.F.R. ยง 440.90 for Indian Health Service and Tribal Facilities to February 11, 2025
Guidance announcing the extension of a grace period permitting Indian Health Service (IHS) and tribal facilities to claim Medicaid reimbursement under the clinic services benefit for services provided outside of the "four walls" of the facility through February 11, 2025. Provides an overview of the history of this flexibility during the COVID-19 public health emergency (PHE) and previous guidance.
Date: 09/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Guidance announcing the extension of a grace period permitting Indian Health Service (IHS) and tribal facilities to claim Medicaid reimbursement under the clinic services benefit for services provided outside of the "four walls" of the facility through February 11, 2025. Provides an overview of the history of this flexibility during the COVID-19 public health emergency (PHE) and previous guidance.
Date: 09/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Advantage Enrollment, Plan Availability and Premiums in Rural Areas
Research brief analyzing Medicare Advantage enrollment, availability, and premiums in rural areas to identify trends since 2010. Offers rural and urban comparisons.
Author(s): Jeannie Fuglesten Biniek, Gabrielle Clerveau, Anthony Damico, Tricia Neuman
Date: 09/2023
Sponsoring organization: KFF
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Research brief analyzing Medicare Advantage enrollment, availability, and premiums in rural areas to identify trends since 2010. Offers rural and urban comparisons.
Author(s): Jeannie Fuglesten Biniek, Gabrielle Clerveau, Anthony Damico, Tricia Neuman
Date: 09/2023
Sponsoring organization: KFF
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Inflation Reduction Act Research Series: Medicare Enrollees' Use and Out-of-Pocket Expenditures for Drugs Selected for Negotiation under the Medicare Drug Price Negotiation Program
Provides an overview of the Medicare Drug Price Negotiation Program established by the Inflation Reduction Act. Examines prescription drug use and out-of-pocket spending by Medicare Part D enrollees in calendar year 2022 for each of the first 10 drugs selected for price negotiations, which will be applicable in 2026. Includes data on the demographic characteristics of Medicare Part D enrollees taking each drug, including urban-rural status, as well as the number of enrollees and mean out-of-pocket spending on each drug by state.
Date: 09/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the Medicare Drug Price Negotiation Program established by the Inflation Reduction Act. Examines prescription drug use and out-of-pocket spending by Medicare Part D enrollees in calendar year 2022 for each of the first 10 drugs selected for price negotiations, which will be applicable in 2026. Includes data on the demographic characteristics of Medicare Part D enrollees taking each drug, including urban-rural status, as well as the number of enrollees and mean out-of-pocket spending on each drug by state.
Date: 09/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Missouri Rural Health Clinic Provider Manual
Provider manual identifying the conditions of participation providing services in Missouri state-funded healthcare programs, including MO HealthNet, Missouri's Medicaid program. Addresses enrollment, eligibility, claim filing, and billing requirements for Rural Health Clinics (RHCs) in Missouri. Includes information on covered telehealth services.
Date: 09/2023
Sponsoring organization: Missouri Department of Social Services
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Provider manual identifying the conditions of participation providing services in Missouri state-funded healthcare programs, including MO HealthNet, Missouri's Medicaid program. Addresses enrollment, eligibility, claim filing, and billing requirements for Rural Health Clinics (RHCs) in Missouri. Includes information on covered telehealth services.
Date: 09/2023
Sponsoring organization: Missouri Department of Social Services
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