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Rural Health
Resources by Topic: Healthcare business and finance

Availability of Post-Acute Care and Long-Term Care Services in Rural Areas
September 14, 2021 webinar discussing the availability of post-acute care and long-term services in rural areas. Shares information on nursing home closures, nursing home deserts, and data describing nursing homes characteristics by metro and nonmetro location. Includes an analysis of hospitals with swing beds that provide coverage for post-acute care and long-term services in rural areas and home health services in rural areas without nursing homes.
Additional links: Presentation Slides, Transcript
Author(s): Hari Sharma
Date: 09/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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2021 Final Marketplace Special Enrollment Period Report
Provides data on the 2021 Special Enrollment Period (SEP), describing the number of Americans who enrolled in the individual, federally-sponsored Health insurance Marketplace. Table 4 provides demographic and plan characteristics by gender, age, rural status, household income, and more.
Date: 09/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Rural Telehealth and Healthcare System Readiness Measurement Framework
Presents a performance measurement framework to guide quality and performance improvement for healthcare services delivered via telehealth in rural areas in response to disasters. Covers five domains — access to care and technology; costs, business models, and logistics; experience; effectiveness; and equity — rural-specific measurement issues, and potential solutions. Includes recommendations for rural telehealth measurement for time-sensitive emergencies, public health emergencies, and disasters.
Date: 09/2021
Type: Document
Sponsoring organization: National Quality Forum
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Evaluation of the Rural Community Hospital Demonstration: Report Covering 2005-2017 (Interim Report 1)
Provides an overview of the Rural Community Hospital Demonstration (RCHD). Describes the characteristics of RCHD participants that entered the demonstration between 2005-2012, the Medicare payments received under program, and the impact of the RCHD on hospital finances between 2005-2017.
Additional links: Findings at a Glance
Date: 09/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Comment on CMS's Proposed Rule on Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs for CY 2022
Comments on an August 4, 2021, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2022. Includes considerations for Rural Emergency Hospital payments and emergency department staffing requirements.
Date: 09/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Air Ambulance Use and Surprise Billing
Provides an overview of air ambulance services, including the types and number of air ambulance providers and suppliers, utilization rates by patients, average costs, and the potential for balance billing for air ambulance transport. Summarizes key policies and legislation related to air ambulances, including the No Surprises Act. Presents data on air ambulance utilization by rurality between 2014-2018.
Author(s): Gina Turrini, Joel Ruhter, Andre R. Chappel, Nancy De Lew
Date: 09/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Results from 2018 Tax-Exempt Hospitals' Schedule H Community Benefit Reports
Summarizes the benefits nonprofit hospitals provide their communities based on an analysis of IRS Form 990 Schedule H. Addresses the percent spent on financial assistance, health professions education, community building activities, and other categories included on Schedule H. Includes data for rural and Critical Access Hospitals.
Date: 09/2021
Type: Document
Sponsoring organization: American Hospital Association
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MedPAC Comment on CMS's Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B for CY 2022
Comment on a July 23, 2021, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of the expansion of telehealth service coverage after the COVID-19 public health emergency, as well as reimbursement rates to Rural Health Clinics and Federally Qualified Health Centers for telehealth mental health services.
Date: 09/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Changes in Socioeconomic Mix and Health Outcomes in Rural Counties with Hospital Closures, 2005-2018
Explores changes in socioeconomic mix and health outcomes that occurred in micropolitan and noncore counties with and without a complete hospital closure between 2005-2018, using the 2013 National Center for Health Statistics Rural Classification Scheme for Counties. Features statistics on number of counties that experienced hospital closures, percentage of hospital closures by Medicaid expansion status, trends in area unemployment and poverty rates and proportion of non-white residents across counties by closure status, and mortality rates, with breakdowns by micropolitan and noncore areas.
Author(s): Nathaniel Bell, Peiyin Hung, Kewei Shi, et al.
Date: 09/2021
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Geographic Access to Health Care for Rural Medicare Beneficiaries: A National Study
Policy brief exploring rural and urban healthcare, geographic access to providers, and types of providers seen by Medicare beneficiaries based on Medicare administrative data from 2014. Charts offer rural and urban comparisons of characteristics of beneficiaries, number of visits by region, number of visits by race/ethnicity, visits by provider type, and travel distance and time.
Author(s): Eric H. Larson, C. Holly A. Andrilla, Lisa A. Garberson, David V. Evans
Date: 09/2021
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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