Rural Health
Resources by Topic: Health reform
Independent Evaluation of Comprehensive Primary Care Plus (CPC+): First Annual Report
Provides an overview of first-year findings for CPC+, including who participated, the supports practices received, how practices implemented CPC+, and the impacts on cost, service use, and outcomes for Medicare beneficiaries. Features statistics with breakdowns by rural, suburban, or urban location.
Additional links: Appendices to the Supplemental Volume, Findings at a Glance, Supplemental Volume
Author(s): Deborah Peikes, Grace Anglin, Mary Harrington, et al.
Date: 04/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Provides an overview of first-year findings for CPC+, including who participated, the supports practices received, how practices implemented CPC+, and the impacts on cost, service use, and outcomes for Medicare beneficiaries. Features statistics with breakdowns by rural, suburban, or urban location.
Additional links: Appendices to the Supplemental Volume, Findings at a Glance, Supplemental Volume
Author(s): Deborah Peikes, Grace Anglin, Mary Harrington, et al.
Date: 04/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Strengthening Medicaid Long-term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies 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 examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Sponsoring organization: Center for Health Care Strategies
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Shares strategies 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 examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Sponsoring organization: Center for Health Care Strategies
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Where Are They Now: Indian Programs on the GAO High Risk List
Features a Senate Committee on Indian Affairs oversight hearing discussing three high risk programs serving American Indians and Alaska Natives. Features testimony from representatives of the Government Accountability Office, the Bureau of Indian Education, the Bureau of Indian Affairs, and the Indian Health Service.
Date: 03/2019
Sponsoring organization: Senate Committee on Indian Affairs
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Features a Senate Committee on Indian Affairs oversight hearing discussing three high risk programs serving American Indians and Alaska Natives. Features testimony from representatives of the Government Accountability Office, the Bureau of Indian Education, the Bureau of Indian Affairs, and the Indian Health Service.
Date: 03/2019
Sponsoring organization: Senate Committee on Indian Affairs
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State Innovation Models (SIM) Round 2: Model Test Annual Report Three
Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Five Annual Report
Fifth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Presents the final summary findings for SIM Round 1. Includes information specific to rural areas.
Additional links: Appendices, Findings at a Glance
Date: 12/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Fifth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Presents the final summary findings for SIM Round 1. Includes information specific to rural areas.
Additional links: Appendices, Findings at a Glance
Date: 12/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Reforming America's Healthcare System Through Choice and Competition
Describes how state and federal laws, regulations, guidance, and policies affect choice and competition in healthcare markets, and offers recommendations for improvement. Includes rural-relevant issues such as scope of practice, workforce mobility, and telehealth.
Date: 12/2018
Sponsoring organization: U.S. Department of Health and Human Services
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Describes how state and federal laws, regulations, guidance, and policies affect choice and competition in healthcare markets, and offers recommendations for improvement. Includes rural-relevant issues such as scope of practice, workforce mobility, and telehealth.
Date: 12/2018
Sponsoring organization: U.S. Department of Health and Human Services
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Practice Rurality of Family Physicians Enrolled in a Practice Transformation Network
An analysis of the enrollment of small and rural practices in the Transforming Clinical Practice Initiative (TCPI), supporting nationwide, collaborative and peer-based learning, to determine if a greater proportion of rural practices are enrolled in Practice Transformation Networks (PTNs) than are found among non-enrolled practices. In addition, the analysis includes the enrollment of family physicians across states and PTNs. Rural Urban Commuting Area (RUCA, version 2.0) codes were used to determine rurality. TCPI enrollment variation within rural practices is discussed.
Author(s): Robert L. Phillips, Elizabeth M. Bishop, Lars E. Peterson, et al.
Citation: Journal of the American Board of Family Medicine, 31(6), 952-956
Date: 11/2018
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An analysis of the enrollment of small and rural practices in the Transforming Clinical Practice Initiative (TCPI), supporting nationwide, collaborative and peer-based learning, to determine if a greater proportion of rural practices are enrolled in Practice Transformation Networks (PTNs) than are found among non-enrolled practices. In addition, the analysis includes the enrollment of family physicians across states and PTNs. Rural Urban Commuting Area (RUCA, version 2.0) codes were used to determine rurality. TCPI enrollment variation within rural practices is discussed.
Author(s): Robert L. Phillips, Elizabeth M. Bishop, Lars E. Peterson, et al.
Citation: Journal of the American Board of Family Medicine, 31(6), 952-956
Date: 11/2018
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Why Are the Health Insurance Marketplaces Thriving in Some States but Struggling in Others?
Analyzes the Robert Wood Johnson Foundation's HIX Compare dataset and the National Association of Insurance Commissioners' 2010 Supplemental Health Care Exhibit Report to identify factors explaining differences in issuers' participation in state insurance marketplaces. Features statistics including the number of insurers participating in states in 2017, with breakdowns by mean state population and rural population as percent of total state population.
Author(s): Jon R. Gabel, Heidi Whitmore, Sam Stromberg, Matthew Green
Date: 11/2018
Sponsoring organization: Commonwealth Fund
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Analyzes the Robert Wood Johnson Foundation's HIX Compare dataset and the National Association of Insurance Commissioners' 2010 Supplemental Health Care Exhibit Report to identify factors explaining differences in issuers' participation in state insurance marketplaces. Features statistics including the number of insurers participating in states in 2017, with breakdowns by mean state population and rural population as percent of total state population.
Author(s): Jon R. Gabel, Heidi Whitmore, Sam Stromberg, Matthew Green
Date: 11/2018
Sponsoring organization: Commonwealth Fund
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Affordable Care Act & Medicaid Reform in Wisconsin: Enrollment and Coverage Trends, Plans and Premiums Chartpack
Provides an overview of the impact of federal healthcare and Medicaid reform for Wisconsin residents. Discusses trends for health insurance coverage and Medicaid, and describes health insurance plans and premiums. Covers data on health insurance plan selection in 2018 by rural and non-rural.
Date: 11/2018
Sponsoring organization: University of Wisconsin Population Health Institute
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Provides an overview of the impact of federal healthcare and Medicaid reform for Wisconsin residents. Discusses trends for health insurance coverage and Medicaid, and describes health insurance plans and premiums. Covers data on health insurance plan selection in 2018 by rural and non-rural.
Date: 11/2018
Sponsoring organization: University of Wisconsin Population Health Institute
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CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 5 Evaluation & Monitoring Annual Report
Shares findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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