Rural Health
Resources by Topic: Health workforce
Medicare: Performance-Based and Geographic Adjustments to Physician Payments
Statement to the U.S. House of Representatives Committee on Energy and Commerce, Subcommittee on Health, summarizing the Government Accountability Organization's (GAO) 2021 reports on the Quality Payment Program and the two tracks it established to incentivize Medicare providers and its 2022 report on geographic adjustments to physician payments. Includes information on the participation of providers in rural and underserved areas in Advanced Alternative Payment Models (APMs) and the challenges these providers face in transitioning to APMs.
Additional links: Full Report
Date: 10/2023
Sponsoring organization: Government Accountability Office
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Statement to the U.S. House of Representatives Committee on Energy and Commerce, Subcommittee on Health, summarizing the Government Accountability Organization's (GAO) 2021 reports on the Quality Payment Program and the two tracks it established to incentivize Medicare providers and its 2022 report on geographic adjustments to physician payments. Includes information on the participation of providers in rural and underserved areas in Advanced Alternative Payment Models (APMs) and the challenges these providers face in transitioning to APMs.
Additional links: Full Report
Date: 10/2023
Sponsoring organization: Government Accountability Office
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Oklahoma Office of Primary Care & Rural Health Development Overview
Webinar highlighting the work of the Oklahoma Office of Primary Care & Rural Health Development. Discusses health professional shortage areas, the National Health Service Core Loan Repayment Program, the OK Health Corps, J-1 Visa Waivers, and the Conrad 30 Waiver. Transcript available in the video description.
Date: 10/2023
Sponsoring organization: Oklahoma State University Center for Rural Health
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Webinar highlighting the work of the Oklahoma Office of Primary Care & Rural Health Development. Discusses health professional shortage areas, the National Health Service Core Loan Repayment Program, the OK Health Corps, J-1 Visa Waivers, and the Conrad 30 Waiver. Transcript available in the video description.
Date: 10/2023
Sponsoring organization: Oklahoma State University Center for Rural Health
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October 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2023 meeting. Covers updates to Medicare payment rates for clinician services, staffing ratios and turnover rates in nursing facilities, an alternative method to establish Medicare payments for select conditions treated in inpatient rehabilitation facilities, and a work plan relating to generic drug prices under Medicare Part D. Includes rural references and considerations throughout.
Date: 10/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2023 meeting. Covers updates to Medicare payment rates for clinician services, staffing ratios and turnover rates in nursing facilities, an alternative method to establish Medicare payments for select conditions treated in inpatient rehabilitation facilities, and a work plan relating to generic drug prices under Medicare Part D. Includes rural references and considerations throughout.
Date: 10/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Pharmacists Fill Needed Health Care Gap For Rural Americans
Profiles rural pharmacists and their experiences working in areas that have an increased burden of chronic disease and reduced healthcare access.
Author(s): Loren Bonner
Citation: Pharmacy Today
Date: 10/2023
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Profiles rural pharmacists and their experiences working in areas that have an increased burden of chronic disease and reduced healthcare access.
Author(s): Loren Bonner
Citation: Pharmacy Today
Date: 10/2023
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Challenges to Care of Patients with Diabetes in Rural, Underserved Areas
Discusses the provision of diabetes care to patients in rural areas. Includes information on demographics, barriers to care, and Federally Qualified Health Centers (FQHCs).
Author(s): Richard J. Santen
Date: 10/2023
Sponsoring organization: University of Virginia School of Medicine
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Discusses the provision of diabetes care to patients in rural areas. Includes information on demographics, barriers to care, and Federally Qualified Health Centers (FQHCs).
Author(s): Richard J. Santen
Date: 10/2023
Sponsoring organization: University of Virginia School of Medicine
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MedPAC Payment Basics
Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Environmental Scan on Encouraging Rural Participation in Population-Based TCOC Models
Presents results of an environmental scan regarding population-based total cost of care (PB-TCOC) payment models and encouraging rural participation in these models. Describes challenges affecting rural patients and providers; opportunities for alternative payment models (APMs) and PB-TCOC models to address challenges in rural areas; trends in rural providers' participation in APMs; driving care delivery transformation in rural providers, including models that include or target rural participants in their model designs; leveraging financial incentives to improve rural health care; adoption and use of health information technology, including telehealth and data analytics among rural providers; and the measurement of rural providers' performance in APMs.
Date: 09/2023
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Presents results of an environmental scan regarding population-based total cost of care (PB-TCOC) payment models and encouraging rural participation in these models. Describes challenges affecting rural patients and providers; opportunities for alternative payment models (APMs) and PB-TCOC models to address challenges in rural areas; trends in rural providers' participation in APMs; driving care delivery transformation in rural providers, including models that include or target rural participants in their model designs; leveraging financial incentives to improve rural health care; adoption and use of health information technology, including telehealth and data analytics among rural providers; and the measurement of rural providers' performance in APMs.
Date: 09/2023
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Maternal, Infant, and Early Childhood Home Visiting Program in Rural America: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) in rural areas. Discusses the history of home visiting and the MIECHV program, Tribal MIECHV, program structure, eligible models, and promising approaches. Highlights three evidence-based home visiting models in Oregon that receive MIECHV funding. Offers policy recommendations related to improving MIECHV for rural families.
Date: 09/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of issues related to the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) in rural areas. Discusses the history of home visiting and the MIECHV program, Tribal MIECHV, program structure, eligible models, and promising approaches. Highlights three evidence-based home visiting models in Oregon that receive MIECHV funding. Offers policy recommendations related to improving MIECHV for rural families.
Date: 09/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Survey of Final-Year Medical Residents: Many Job Choices, Many Reservations
Reports on survey results from final-year residents regarding their career plans after residency training. Analyzes 241 responses from 2023 and includes survey data related to issues such as recruiting, expected income, preferred practice location, medical debt, and more. Compares 2023, 2021, and 2019 survey results and includes discussion about physician recruitment to rural areas.
Date: 09/2023
Sponsoring organization: AMN Healthcare
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Reports on survey results from final-year residents regarding their career plans after residency training. Analyzes 241 responses from 2023 and includes survey data related to issues such as recruiting, expected income, preferred practice location, medical debt, and more. Compares 2023, 2021, and 2019 survey results and includes discussion about physician recruitment to rural areas.
Date: 09/2023
Sponsoring organization: AMN Healthcare
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September 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2023 meeting. Covers managed care denials and appeals, Medicaid demographic data collection, the unwinding of the Medicaid continuous coverage requirement, the MACPAC hospital supplemental payment work plan, a review of the proposed rule on nursing facility staffing and payment transparency, and school-based behavioral health services for students enrolled in Medicaid, among other things. Includes rural references throughout.
Date: 09/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2023 meeting. Covers managed care denials and appeals, Medicaid demographic data collection, the unwinding of the Medicaid continuous coverage requirement, the MACPAC hospital supplemental payment work plan, a review of the proposed rule on nursing facility staffing and payment transparency, and school-based behavioral health services for students enrolled in Medicaid, among other things. Includes rural references throughout.
Date: 09/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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