Rural Health
Resources by Topic: Health insurance
Programs of All-Inclusive Care for the Elderly in Rural America: Policy Brief and Recommendations to the Secretary
Provides an overview of Programs of All-Inclusive Care for the Elderly (PACE). Discusses barriers to implementing PACE programs in rural areas and offers policy recommendations and considerations to facilitate the expansion of these programs in rural communities.
Date: 03/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of Programs of All-Inclusive Care for the Elderly (PACE). Discusses barriers to implementing PACE programs in rural areas and offers policy recommendations and considerations to facilitate the expansion of these programs in rural communities.
Date: 03/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Optimizing Population-Based Total Cost of Care (PB-TCOC) Models in the Context of Alternative Payment Models (APMs) and Physician-Focused Payment Models (PFPMs)
Report from the Physician-Focused Payment Model Technical Advisory Committee (PTAC) summarizing findings on population-based total cost of care (PB-TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of key issues relating to PB-TCOC models and value-based care transformation. Identifies areas where additional research is needed and some potential next steps. Includes rural references throughout.
Date: 03/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Report from the Physician-Focused Payment Model Technical Advisory Committee (PTAC) summarizing findings on population-based total cost of care (PB-TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of key issues relating to PB-TCOC models and value-based care transformation. Identifies areas where additional research is needed and some potential next steps. Includes rural references throughout.
Date: 03/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Financial Burden of Medical Care Among Veterans Aged 25–64, by Health Insurance Coverage: United States, 2019–2021
Examines financial burden for medical care among veterans aged 25–64 for those with VA health care alone and combined with different types of health insurance coverage. Table 1 includes data on VA health care and health insurance coverage for those in metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Peter Boersma
Date: 03/2023
Sponsoring organization: National Center for Health Statistics
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Examines financial burden for medical care among veterans aged 25–64 for those with VA health care alone and combined with different types of health insurance coverage. Table 1 includes data on VA health care and health insurance coverage for those in metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Peter Boersma
Date: 03/2023
Sponsoring organization: National Center for Health Statistics
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Financial Risk Acceptance among Rural Health Care Providers Participating in the Quality Payment Program
Summarizes nonmetropolitan and metropolitan providers' participation in different Quality Payment Program tracks and subdivisions, and evaluates provider and patient-panel characteristics associated with financial risk acceptance. Features statistics on risk acceptance with breakdowns by specialty type and metropolitan status, and patient panel characteristics by risk type.
Author(s): Xi Zhu, Mina Shrestha, Fred Ullrich, Keith Mueller
Date: 03/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Summarizes nonmetropolitan and metropolitan providers' participation in different Quality Payment Program tracks and subdivisions, and evaluates provider and patient-panel characteristics associated with financial risk acceptance. Features statistics on risk acceptance with breakdowns by specialty type and metropolitan status, and patient panel characteristics by risk type.
Author(s): Xi Zhu, Mina Shrestha, Fred Ullrich, Keith Mueller
Date: 03/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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MedPAC Report to the Congress: Medicare Payment Policy, 2023
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services; Medicare Advantage (MA), including a mandated report comparing per enrollee spending in the MA program with that of traditional fee-for-service (FFS) Medicare; and Medicare Part D.
Date: 03/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services; Medicare Advantage (MA), including a mandated report comparing per enrollee spending in the MA program with that of traditional fee-for-service (FFS) Medicare; and Medicare Part D.
Date: 03/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, March 2023
Reports on four aspects of Medicaid: 1) collecting and reporting Medicaid race and ethnicity data, 2) increasing the transparency and improving the collection of nursing facility payment data, 3) strengthening evidence under Medicaid drug coverage, and 4) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 4 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the number of hospitals with high levels of uncompensated care that also provide essential community services. Table 4-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on four aspects of Medicaid: 1) collecting and reporting Medicaid race and ethnicity data, 2) increasing the transparency and improving the collection of nursing facility payment data, 3) strengthening evidence under Medicaid drug coverage, and 4) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 4 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the number of hospitals with high levels of uncompensated care that also provide essential community services. Table 4-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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RHCs & the Medicare Shared Savings Program - What You Need to Know
Recording of a March 7, 2023, webinar providing an overview of the transition to value-based care, Accountable Care Organizations, and the Medicare Shared Savings Program. Discusses considerations for Rural Health Clinic participation in the Shared Savings Program. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 03/2023
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a March 7, 2023, webinar providing an overview of the transition to value-based care, Accountable Care Organizations, and the Medicare Shared Savings Program. Discusses considerations for Rural Health Clinic participation in the Shared Savings Program. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 03/2023
Sponsoring organization: National Association of Rural Health Clinics
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Rural Track Program Funding: An Erosion in Definitions of Rural Places Requires New Action
Policy position paper discussing graduate medical education (GME) in rural areas. Discusses policy changes to rural hospital classification and the impact of these changes on rural GME and rural training track programs.
Date: 03/2023
Sponsoring organization: National Rural Health Association
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Policy position paper discussing graduate medical education (GME) in rural areas. Discusses policy changes to rural hospital classification and the impact of these changes on rural GME and rural training track programs.
Date: 03/2023
Sponsoring organization: National Rural Health Association
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CMS Bundled Payments for Care Improvement Advanced Model: Fourth Evaluation Report
Fourth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 3. Analyzes BPCI Advanced outcomes for beneficiaries from underserved communities, including beneficiaries in rural areas and areas with a high Area Deprivation Index (ADI).
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fourth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 3. Analyzes BPCI Advanced outcomes for beneficiaries from underserved communities, including beneficiaries in rural areas and areas with a high Area Deprivation Index (ADI).
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural and Urban Differences in Insurance Coverage at Prepregnancy, Birth, and Postpartum
Examines insurance coverage in rural and urban women at prepregnancy, birth, and postpartum. Analyzes 154,992 postpartum individuals in the U.S. part of the 2016-2019 PRAMS (Pregnancy Risk Assessment Monitoring System) and breaks down rural versus urban data by demographic variables, income, state Medicaid expansion, education, marital status, chronic disease, and more. Discusses disparities in insurance for rural and urban women.
Author(s): Lindsay K. Admon, Jamie R. Daw, Julia D. Interrante, et al.
Citation: Obstetrics & Gynecology, 14(3), 570-581
Date: 03/2023
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Examines insurance coverage in rural and urban women at prepregnancy, birth, and postpartum. Analyzes 154,992 postpartum individuals in the U.S. part of the 2016-2019 PRAMS (Pregnancy Risk Assessment Monitoring System) and breaks down rural versus urban data by demographic variables, income, state Medicaid expansion, education, marital status, chronic disease, and more. Discusses disparities in insurance for rural and urban women.
Author(s): Lindsay K. Admon, Jamie R. Daw, Julia D. Interrante, et al.
Citation: Obstetrics & Gynecology, 14(3), 570-581
Date: 03/2023
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