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Rural Health Information Hub

Rural Health
Resources by Topic: Health reform

State Innovation Models (SIM) Initiative Evaluation: Model Test Year Two Annual Report
Second 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, Vermont, and Oregon - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Presents results from the second of three planned site visits to the states, including interviews, focus groups, and surveys. Connections made throughout to issues specifically affecting rural healthcare.
Date: 08/2016
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): First Annual Report
Summarizes the first year evaluation results of the 39 Health Care Innovation Awards Round Two projects. Includes findings for the individual grantees, which include 14 projects that serve rural areas.
Date: 08/2016
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Hospital Closures and the Current Healthcare Climate: The Future of Rural Hospitals in the USA
Discusses impact of Affordable Care Act on rural hospitals, including financial considerations, and explores steps that may be taken in order to ensure that these facilities remain open.
Author(s): Somasekar Balasubramanian, Erick Jones
Citation: Rural and Remote Health, 16(3), 3935
Date: 07/2016
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Stroudwater Population Health
An 8-part video series designed to help rural healthcare organizations transition from payment for volume to payment for value and advance population health strategies. Each part discusses an important strategy for achieving population health, including: quality and efficiency, network relationships and service rationalization, employer-sponsored health plans and fee-for-service payments, shared savings plans, and full risk payments and capitation.
Date: 06/2016
Sponsoring organization: Stroudwater Associates
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Does ACA Insurance Coverage Expansion Improve the Financial Performance of Rural Hospitals?
Findings brief discussing perceptions of rural hospital administrators, state hospital associations, and State Offices of Rural Health, concerning changes in payer mix, changes in uncompensated care and unreimbursed cost, and financial performance in their respective hospitals or states.
Author(s): Kristie Thompson, Kristin Reiter, Rebecca Whitaker, Sharita Thomas
Date: 06/2016
Sponsoring organization: North Carolina Rural Health Research Program
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10 Strategies for Rural North Carolina's Future
Includes strategies for stabilizing and transforming healthcare in rural North Carolina, by facilitating transition to accountable care communities, strengthening efforts to reduce drug addiction, stabilizing health system revenue, and supporting establishment of a state chapter of the National Rural Health Association.
Date: 04/2016
Sponsoring organization: NC Rural Center
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Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Second Annual Report
Evaluations of 9 Health Care Innovation Awards Round One projects focused on implementing shared decision making or medication management programs. Provides findings across projects as well as profiles of each project. Includes medication management projects focused on rural areas.
Date: 03/2016
Sponsoring organizations: Acumen, Centers for Medicare and Medicaid Services
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Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, Second Annual Report
Second annual evaluations of 14 Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Discusses common experiences across projects and profiles each project. Includes 2 rural-focused projects and 7 additional projects that included services to rural areas.
Date: 03/2016
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Evaluation of Hospital-Setting HCIA Awards: Second Annual Report, Final
Second annual evaluations of 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Includes findings across all projects, as well as profiles of each project. Includes projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Date: 03/2016
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Second Annual Report: HCIA Disease-Specific Evaluation
Second annual evaluations of 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Discusses experiences common across grantees and profiles each project. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, cardiovascular disease, and chronic pain. Approaches discussed include care coordination, education, and telehealth.
Date: 03/2016
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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