Rural Health
Resources by Topic: Healthcare business and finance
Medicaid: Characteristics of and Expenditures for Adults with Intellectual or Developmental Disabilities
Describes the health and demographic characteristics of adults with intellectual or developmental disabilities (I/DD) enrolled in Medicaid home- and community-based programs in 2019 in six states: Colorado, Florida, Georgia, Indiana, Oklahoma, and South Dakota. Examines average per-beneficiary healthcare expenditures for I/DD beneficiaries in these states. Highlights the percentage of I/DD beneficiaries in rural areas of each state.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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Describes the health and demographic characteristics of adults with intellectual or developmental disabilities (I/DD) enrolled in Medicaid home- and community-based programs in 2019 in six states: Colorado, Florida, Georgia, Indiana, Oklahoma, and South Dakota. Examines average per-beneficiary healthcare expenditures for I/DD beneficiaries in these states. Highlights the percentage of I/DD beneficiaries in rural areas of each state.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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Electronic Health Information Exchange: Use Has Increased, but Is Lower for Small and Rural Providers
Explores states' use of Health Information Technology for Economic and Clinical Health (HITECH) Act funding for health information exchange efforts. Examines the extent to which the use of electronic health information exchange has changed since the enactment of the HITECH Act and federal efforts that aim to address challenges to the electronic exchange of health information. Discusses differences in the electronic exchange of information between small and rural hospitals and larger, non-rural hospitals.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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Explores states' use of Health Information Technology for Economic and Clinical Health (HITECH) Act funding for health information exchange efforts. Examines the extent to which the use of electronic health information exchange has changed since the enactment of the HITECH Act and federal efforts that aim to address challenges to the electronic exchange of health information. Discusses differences in the electronic exchange of information between small and rural hospitals and larger, non-rural hospitals.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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Big Changes with the New Rural Emergency Hospital Model
Podcast episode providing an overview of the Rural Emergency Hospital designation. Discusses the role of the Rural Emergency Hospital Technical Assistance Center and the types of support it provides.
Date: 04/2023
Sponsoring organization: American Hospital Association
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Podcast episode providing an overview of the Rural Emergency Hospital designation. Discusses the role of the Rural Emergency Hospital Technical Assistance Center and the types of support it provides.
Date: 04/2023
Sponsoring organization: American Hospital Association
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April 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2023 meeting. Covers automatic adjustments to Disproportionate Share Hospital (DSH) allotments, DSH third-party payer policy, integrating care for dually eligible beneficiaries, access to Medicaid coverage and care for adults leaving incarceration, adult access to covered dental benefits, access to home- and community-based services, and an update on the COVID-19 public health emergency (PHE) unwinding. Includes rural references and considerations throughout.
Date: 04/2023
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) April 2023 meeting. Covers automatic adjustments to Disproportionate Share Hospital (DSH) allotments, DSH third-party payer policy, integrating care for dually eligible beneficiaries, access to Medicaid coverage and care for adults leaving incarceration, adult access to covered dental benefits, access to home- and community-based services, and an update on the COVID-19 public health emergency (PHE) unwinding. Includes rural references and considerations throughout.
Date: 04/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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April 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2023 meeting. Covers high prices of drugs covered under Medicare Part B, draft recommendations for reforming Medicare's wage index systems, aligning fee-for-service payment rates across ambulatory settings, leveraging Medicare policies to address social determinants of health, assessing post-sale rebates for prescription drugs in Medicare Part D, and assessing the need for Medicare safety net payments for skilled nursing facilities and home health agencies. Features discussions on draft reports regarding a prototype design for a post-acute care prospective payment system, telehealth in Medicare, and behavioral health in Medicare. Includes rural references throughout.
Date: 04/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2023 meeting. Covers high prices of drugs covered under Medicare Part B, draft recommendations for reforming Medicare's wage index systems, aligning fee-for-service payment rates across ambulatory settings, leveraging Medicare policies to address social determinants of health, assessing post-sale rebates for prescription drugs in Medicare Part D, and assessing the need for Medicare safety net payments for skilled nursing facilities and home health agencies. Features discussions on draft reports regarding a prototype design for a post-acute care prospective payment system, telehealth in Medicare, and behavioral health in Medicare. Includes rural references throughout.
Date: 04/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Analysis of Hospital Operating Margins and Provision of Safety Net Services
Explores the association between five hospital safety net services - undercompensated care measured using the Disproportionate Share Hospital index, uncompensated care, essential community services, and Sole Community Hospital and Critical Access Hospital status - and hospital operating margins. Includes information on the relationship between bed count, Census region, urban/rural location, ownership status, and having a Graduate Medical Education residency program with operating margins.
Author(s): Lukas K. Gaffney, Kenneth A. Michelson
Citation: JAMA Network Open, 6(4), e238785
Date: 04/2023
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Explores the association between five hospital safety net services - undercompensated care measured using the Disproportionate Share Hospital index, uncompensated care, essential community services, and Sole Community Hospital and Critical Access Hospital status - and hospital operating margins. Includes information on the relationship between bed count, Census region, urban/rural location, ownership status, and having a Graduate Medical Education residency program with operating margins.
Author(s): Lukas K. Gaffney, Kenneth A. Michelson
Citation: JAMA Network Open, 6(4), e238785
Date: 04/2023
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Better Together: Rural Hospital High-Value Networks
Examines how rural hospital high-value networks can create economies of scale and value-based care capacity in order to enter into value-based payment contracts.
Author(s): Clint MacKinney, Nate White, Brett Norell
Citation: Rural Monitor
Date: 04/2023
Sponsoring organization: Rural Health Information Hub
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Examines how rural hospital high-value networks can create economies of scale and value-based care capacity in order to enter into value-based payment contracts.
Author(s): Clint MacKinney, Nate White, Brett Norell
Citation: Rural Monitor
Date: 04/2023
Sponsoring organization: Rural Health Information Hub
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Association Between Broadband Capacity and Telehealth Utilization Among Medicare Fee-for-Service Beneficiaries During the COVID-19 Pandemic
Evaluates the relationship between broadband access and telehealth utilization throughout the U.S. during the COVID-19 pandemic, from January through September 2020, by merging county-level data from 3,107 counties focused on broadband capacity, telehealth utilization by Medicare Fee-for-Service beneficiaries, rural-urban residence, and demographic characteristics.
Author(s): Ambrish A. Pandit, Ruchira V. Mahashabde, Clare C. Brown, et al.
Citation: Journal of Telemedicine and Telecare, 2023
Date: 04/2023
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Evaluates the relationship between broadband access and telehealth utilization throughout the U.S. during the COVID-19 pandemic, from January through September 2020, by merging county-level data from 3,107 counties focused on broadband capacity, telehealth utilization by Medicare Fee-for-Service beneficiaries, rural-urban residence, and demographic characteristics.
Author(s): Ambrish A. Pandit, Ruchira V. Mahashabde, Clare C. Brown, et al.
Citation: Journal of Telemedicine and Telecare, 2023
Date: 04/2023
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Surveillance of the Initiation of, Participation in, and Completion of Cardiac Rehabilitation in Minnesota, 2017–2018
Analyzes cardiac rehabilitation (CR) disparities in Minnesota related to eligibility, initiation, participation, and completion of CR. Examines 12,937 Minnesota All Payer Claims Database members who qualified for CR, with data broken down by county, demographics, type of health insurance, comorbidities, social vulnerability, qualifying condition, Rural-Urban Commuting Area code, and more.
Author(s): James M. Peacock, Emily Styles, Sara Johnson, et al.
Citation: Preventing Chronic Disease, 20
Date: 04/2023
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Analyzes cardiac rehabilitation (CR) disparities in Minnesota related to eligibility, initiation, participation, and completion of CR. Examines 12,937 Minnesota All Payer Claims Database members who qualified for CR, with data broken down by county, demographics, type of health insurance, comorbidities, social vulnerability, qualifying condition, Rural-Urban Commuting Area code, and more.
Author(s): James M. Peacock, Emily Styles, Sara Johnson, et al.
Citation: Preventing Chronic Disease, 20
Date: 04/2023
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Engaging Primary Care in Value-Based Payment: New Findings from the 2022 Commonwealth Fund Survey of Primary Care Physicians
Describes the results of the 2022 Commonwealth Fund International Health Policy Survey of Primary Care Physicians regarding fee-for-service and value-based payment models. Highlights trends between smaller, rural practices and larger, urban ones and discusses implications on quality of care.
Author(s): Celli Horstman, Corinne Lewis
Date: 04/2023
Sponsoring organization: Commonwealth Fund
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Describes the results of the 2022 Commonwealth Fund International Health Policy Survey of Primary Care Physicians regarding fee-for-service and value-based payment models. Highlights trends between smaller, rural practices and larger, urban ones and discusses implications on quality of care.
Author(s): Celli Horstman, Corinne Lewis
Date: 04/2023
Sponsoring organization: Commonwealth Fund
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