Skip to main content

Rural Health
Resources by Topic: Health reform

Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies that states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings, and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide real-life examples of each strategy, and discusses rural-specific considerations throughout.
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 12/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Medicaid Payment and Delivery System Reform: Early Insights from 10 Medicaid Expansion States
Examines the evolution of payment and delivery system reform in ten states that expanded Medicaid coverage through the Affordable Care Act (ACA). States were chosen to provide diversity in size, location, urban/rural mix, and population demographics. Findings are based on a review of states' managed care policies and contracting documents, supplemented by interviews with senior Medicaid officials.
Author(s): Sara Rosenbaum, Sara Schmucker, Sara Rothenberg, Rachel Gunsalus, J. Zoƫ Beckerman
Date: 10/2017
Type: Document
Sponsoring organization: Commonwealth Fund
view details
Leveraging Policy Changes to Improve Rural Health
Discusses different areas of U.S. healthcare policy and how they affect healthcare delivery in rural areas. Focuses on payment policy and rural primary care. Slides from a presentation at the 2017 National Organization of State Office of Rural Health Annual Meeting.
Author(s): Keith J. Mueller
Date: 09/2017
Type: Presentation Slides
Sponsoring organization: Rural Policy Research Institute
view details
State Innovation Models (SIM) Initiative Evaluation: Model Test Year Three Annual Report
Third annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Focuses on sharing cross-state progress and findings, state-specific findings and lessons learned, and lessons for policymakers. Additional emphasis is placed on monitoring healthcare experience, utilization, and expenditures in participating SIM states.
Date: 09/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Building Capacity for Value
Slides from a presentation at the Missouri Rural Health Conference describing the evolution of value-based care, including specifics on Centers for Medicare and Medicaid Services (CMS) transformation initiatives. Also describes the characteristics of high performance rural healthcare systems, and provides tools and recommendations for achieving value-based healthcare transformation in rural settings.
Author(s): Karla Weng
Date: 08/2017
Type: Presentation Slides
Sponsoring organization: Rural Health Value
view details
State Innovation Models (SIM) Round 2: Model Design Final Report
Shares results from a federal evaluation of the Round 2 State Innovation Models (SIM) Initiative awards. Provides a summary and review of each awardees' final State Health System Innovations Plan (SHSIP). Includes several suggestions and recommendations for improving rural healthcare delivery, payment, and access.
Date: 08/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
An Emerging Approach to Payment Reform: All-Payer Global Budgets for Large Safety-Net Hospital Systems
Examines the possibility of implementing global all-payer budgets in safety-net hospital systems throughout the U.S. Provides background on the all-payer model, and discusses the experiences of rural hospitals in Maryland and Pennsylvania, where current global budgeting demonstrations are ongoing.
Author(s): Joshua M. Sharfstein, Sule Gerovich, Elizabeth Moriarty, David Chin
Date: 08/2017
Type: Document
Sponsoring organization: Commonwealth Fund
view details
Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): Second Annual Report
Summarizes the second year evaluation results of the 39 Health Care Innovation Awards Round Two projects. Describes implementation experiences during the second program year and examines pre-enrollment characteristics of participants. Focuses on program enrollment, implementation of service delivery models, development and implementation of payment models, and sustainability plans. Provides findings for the individual grantees, which include projects that serve rural areas.
Date: 08/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
view details
State Innovation Model Testing Awards From the Center for Medicare & Medicaid Innovation: Highlighting Rural Focus
Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in six states: Arkansas, Colorado, Idaho, Oregon, Minnesota, and Vermont. The SIM initiative was started in 2012 to support states that are committed to designing and testing strategies for payment model and delivery system reform.
Date: 07/2017
Type: Document
Sponsoring organization: Rural Health Value
view details
Catalog of Value-based Initiatives for Rural Providers
Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare and Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation (CMMI). Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Catalog includes descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 07/2017
Type: Document
Sponsoring organization: Rural Health Value
view details