Can Community Paramedicine Improve Health Outcomes in Rural America?
Profiles three community paramedicine programs that serve rural communities in the Midwest, Maine, and Pennsylvania. Describes how community paramedicine can help fill gaps in care in rural communities and improve health outcomes. Identifies challenges to the growth of rural community paramedicine programs, including funding, payment, and workforce.
Author(s): Vida Foubister
Date: 03/2023
Type: Document
Sponsoring organization: Commonwealth Fund
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Medicaid/CHIP Coverage by School Districts, 2016-2020
Provides data on the percent of children covered by Medicaid/CHIP by school district, with separate, searchable lists for each state.
Date: 03/2023
Type: Website
Sponsoring organization: Georgetown University Health Policy Institute
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California Federally Qualified Health Center Alternative Payment Model Implementation Guide
Provides an overview on how the California Federally Qualified Health Center Alternative Payment Model (FQHC APM) may impact FQHCs and how facilities can prepare for the transition. Discusses the financial impact of the FQHC APM and assists facilities and staff in setting priorities, determining staffing needs, understanding necessary data collection, building staff competencies, and more.
Author(s): Greg Howe, Karla Silverman, Rob Houston
Date: 03/2023
Type: Document
Sponsoring organizations: California Health Care Foundation, Center for Health Care Strategies
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Financial Burden of Medical Care Among Veterans Aged 25–64, by Health Insurance Coverage: United States, 2019–2021
Examines financial burden for medical care among veterans aged 25–64 for those with VA health care alone and combined with different types of health insurance coverage. Table 1 includes data on VA health care and health insurance coverage for those in metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Peter Boersma
Date: 03/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Prepare for the Unwinding of the Pandemic-Era Continuous Enrollment Provision
Provides a detailed overview of state policies related to Medicaid and the Children's Health Insurance Program (CHIP). Covers policies related to eligibility, enrollment, and renewal. Includes information on how states are preparing for the lifting of the continuous enrollment provision. Includes data tables on state Medicaid and CHIP policies.
Date: 03/2023
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Financial Risk Acceptance among Rural Health Care Providers Participating in the Quality Payment Program
Summarizes nonmetropolitan and metropolitan providers' participation in different Quality Payment Program tracks and subdivisions, and evaluates provider and patient-panel characteristics associated with financial risk acceptance. Features statistics on risk acceptance with breakdowns by specialty type and metropolitan status, and patient panel characteristics by risk type.
Author(s): Xi Zhu, Mina Shrestha, Fred Ullrich, Keith Mueller
Date: 03/2023
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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VA Health Care: Improved Data, Planning, and Communication Needed for Infrastructure Modernization and Realignment
Describes the Asset and Infrastructure Review Commission and Department of Veterans Affairs (VA) recommendations to modernize and realign its infrastructure. Examines the data that the VA used to inform its recommendations, any plans that VA has to improve such data, and the extent of the VA's planning to modernize and realign its infrastructure. Discusses rural-specific recommendations and compares data on facility closure and service line change recommendations by rurality.
Additional links: Full Report
Date: 03/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Merit-Based Incentive Payment System (MIPS): Participating in the Improvement Activities Performance Category in the 2023 Performance Year - Traditional MIPS
Provides details on how to participate in the performance improvement part of the Merit-Based Incentive Payment System (MIPS), one of two tracks under the Medicare Quality Payment Program. Identifies differences for small practices and clinicians located in a rural or Health Professional Shortage Area.
Date: 03/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Report to the Congress: Medicare Payment Policy: Home Health Care Services: Chapter 8
Discusses payment adequacy for home health care services and information on supplemental payments for home health services provided in low-use rural areas. Features statistics on Medicare margins for home health agencies between 2019-2021 with breakdowns by urban and rural areas and the number of home health periods provided to rural beneficiaries by state Review Choice Demonstration status in 2021.
Date: 03/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 10
Discusses payment adequacy for hospice and palliative support services. Includes statistics with breakdowns by urban and rural locations and demographics on Medicare decedents who used hospice during 2010 and between 2017-2021. Compares the actual hospice utilization rates in micropolitan, rural adjacent, rural nonadjacent, and frontier areas to urban hospice utilization rates. Presents data on costs by day, aggregate margins, and the aggregate cap by urban and rural status.
Date: 03/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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