Rural Health
Resources by Topic: Health insurance
CMS Bundled Payments for Care Improvement Advanced Model: Year 2 Evaluation Report
Second 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 quality of care. Covers the period from October 1, 2018, through January 1, 2020. Describes participants in the model; clinical episodes included; the reach of the model; and the impact of BPCI Advanced on episode payments, utilization, and quality of care. Includes information on rural hospital participation in the model.
Additional links: Appendices
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Second 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 quality of care. Covers the period from October 1, 2018, through January 1, 2020. Describes participants in the model; clinical episodes included; the reach of the model; and the impact of BPCI Advanced on episode payments, utilization, and quality of care. Includes information on rural hospital participation in the model.
Additional links: Appendices
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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State-Driven Initiatives to Support Moving to Value-Based Care in the Era of COVID-19
Describes four areas where state-driven strategies can facilitate and promote the adoption of value-based payment (VBP) models. Presents case examples throughout, including the Pennsylvania Rural Health Model. Discusses how additional federal actions could support transitions to VBP at the state level.
Author(s): Caroline Picher, Lauren Block, Mark Japinga, Hemi Tewarson
Date: 03/2021
Sponsoring organizations: Duke-Margolis Center for Health Policy, National Governors Association
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Describes four areas where state-driven strategies can facilitate and promote the adoption of value-based payment (VBP) models. Presents case examples throughout, including the Pennsylvania Rural Health Model. Discusses how additional federal actions could support transitions to VBP at the state level.
Author(s): Caroline Picher, Lauren Block, Mark Japinga, Hemi Tewarson
Date: 03/2021
Sponsoring organizations: Duke-Margolis Center for Health Policy, National Governors Association
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Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration
Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Sponsoring organization: Bipartisan Policy Center
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Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Sponsoring organization: Bipartisan Policy Center
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Update to Rural Health Clinic (RHC) Payment Limits
Provides an overview of the updates to Rural Health Clinic (RHC) payment limits per visit beginning April 1, 2021, through 2028.
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the updates to Rural Health Clinic (RHC) payment limits per visit beginning April 1, 2021, through 2028.
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Which Hospitals Could Be Financially Affected by a Public Option?
Describes the potential impacts of a public option health insurance plan on hospital finances, including rural hospitals. Analyzes hospital discharge data to identify hospitals that had a greater share of total charges paid by private insurance across 25 states. Presents data by hospital and patient characteristics.
Author(s): Anuj Gangopadhyaya, Claire O'Brien
Date: 03/2021
Sponsoring organization: Urban Institute
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Describes the potential impacts of a public option health insurance plan on hospital finances, including rural hospitals. Analyzes hospital discharge data to identify hospitals that had a greater share of total charges paid by private insurance across 25 states. Presents data by hospital and patient characteristics.
Author(s): Anuj Gangopadhyaya, Claire O'Brien
Date: 03/2021
Sponsoring organization: Urban Institute
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Post-Acute Care Trajectories for Rural Medicare Beneficiaries: Planned versus Actual Hospital Discharges to Skilled Nursing Facilities and Home Health Agencies
Examines care transitions among rural fee-for-service Medicare beneficiaries following discharge from an acute care hospital. Compares planned and actual discharges to home health agencies and skilled nursing facilities. Discusses implications of these findings on rural healthcare policy and practice.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, et al.
Date: 03/2021
Sponsoring organization: WWAMI Rural Health Research Center
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Examines care transitions among rural fee-for-service Medicare beneficiaries following discharge from an acute care hospital. Compares planned and actual discharges to home health agencies and skilled nursing facilities. Discusses implications of these findings on rural healthcare policy and practice.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, et al.
Date: 03/2021
Sponsoring organization: WWAMI Rural Health Research Center
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Testimony: Medicaid and CHIP in the U.S. Territories
Presents the statement of the Executive Director of Medicaid and CHIP Payment and Access Commission in a hearing before the U.S. House of Representatives' Committee on Energy and Commerce's Subcommittee on Health regarding the role Medicaid and CHIP play in securing healthcare access in the U.S Territories. Compares current funding through Medicaid for the Territories with the projected funding if no action is taken.
Author(s): Anne L. Schwartz
Date: 03/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Presents the statement of the Executive Director of Medicaid and CHIP Payment and Access Commission in a hearing before the U.S. House of Representatives' Committee on Energy and Commerce's Subcommittee on Health regarding the role Medicaid and CHIP play in securing healthcare access in the U.S Territories. Compares current funding through Medicaid for the Territories with the projected funding if no action is taken.
Author(s): Anne L. Schwartz
Date: 03/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Telehealth & Medicaid: A Policy Webinar Series
Summarizes a series of webinars on Medicaid telehealth policy changes during the first year of the COVID-19 pandemic. Topics covered include telehealth policy developments related to the public health emergency (PHE), Medicaid program engagement and education of healthcare providers, patient education and engagement to increase telehealth access, and discussions of the future of telehealth policy. Offers specific examples from state-level Medicaid programs, with charts and data on telehealth utilization and outcomes.
Date: 03/2021
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Summarizes a series of webinars on Medicaid telehealth policy changes during the first year of the COVID-19 pandemic. Topics covered include telehealth policy developments related to the public health emergency (PHE), Medicaid program engagement and education of healthcare providers, patient education and engagement to increase telehealth access, and discussions of the future of telehealth policy. Offers specific examples from state-level Medicaid programs, with charts and data on telehealth utilization and outcomes.
Date: 03/2021
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Telehealth Policy and Regulatory Considerations During a Pandemic
Toolkit examining policies related to telehealth regarding coverage and payment, licensing, patient privacy and security, remote prescribing, and others, noting temporary changes due to COVID-19. Offers policy recommendations and highlights other important policy areas for healthcare providers to be aware of.
Date: 03/2021
Sponsoring organization: National Telehealth Technology Assessment Resource Center
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Toolkit examining policies related to telehealth regarding coverage and payment, licensing, patient privacy and security, remote prescribing, and others, noting temporary changes due to COVID-19. Offers policy recommendations and highlights other important policy areas for healthcare providers to be aware of.
Date: 03/2021
Sponsoring organization: National Telehealth Technology Assessment Resource Center
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An Examination of Telehealth Policy Impacts on Initial Rural Opioid Use Disorder Treatment Patterns During the COVID‐19 Pandemic
Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health, 37(3), 467-472
Date: 03/2021
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Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health, 37(3), 467-472
Date: 03/2021
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