Rural Health
Resources by Topic: Healthcare business and finance
Applying for Phase 4 of the PRF & the ARP Rural Distribution
Provides an overview of Provider Relief Fund (PRF) Phase 4 general distribution and American Rescue Plan (ARP) rural distribution, as well as the application process for these opportunities. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript, Webinar Q&A Follow-Up
Date: 09/2021
Sponsoring organization: National Association of Rural Health Clinics
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Provides an overview of Provider Relief Fund (PRF) Phase 4 general distribution and American Rescue Plan (ARP) rural distribution, as well as the application process for these opportunities. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript, Webinar Q&A Follow-Up
Date: 09/2021
Sponsoring organization: National Association of Rural Health Clinics
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Disparities in Health Care in Medicare Advantage Associated with Dual Eligibility or Eligibility for a Low-Income Subsidy
Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Identifying Allowable Expenses for COVID-19 Programs
Recording of a September 23, 2021, webinar on the Rural Health Clinic (RHC) COVID-19 Testing Program and RHC COVID-19 Testing and Mitigation Program. Discusses allowable and unallowable expenses for these programs, as well as reimbursable and unreimbursable expenses.
Additional links: Presentation Slides, Transcript
Date: 09/2021
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a September 23, 2021, webinar on the Rural Health Clinic (RHC) COVID-19 Testing Program and RHC COVID-19 Testing and Mitigation Program. Discusses allowable and unallowable expenses for these programs, as well as reimbursable and unreimbursable expenses.
Additional links: Presentation Slides, Transcript
Date: 09/2021
Sponsoring organization: National Association of Rural Health Clinics
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Housing Affordability, Adequacy, and Access to the Internet in Homes of Medicaid Enrollees
Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/non-metro status.
Author(s): Bradley Corallo
Date: 09/2021
Sponsoring organization: KFF
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Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/non-metro status.
Author(s): Bradley Corallo
Date: 09/2021
Sponsoring organization: KFF
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Quality of Care Before and After Mergers and Acquisitions of Rural Hospitals
Examines the quality of care provided in 172 rural hospitals that merged or were acquired between 2009-2016. Compares the in-hospital mortality rates for patients with several conditions compared admitted to merged or acquired hospitals to patients admitted to 266 rural hospitals that remained independent.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel M. Henke, Teresa P. Gibson
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Examines the quality of care provided in 172 rural hospitals that merged or were acquired between 2009-2016. Compares the in-hospital mortality rates for patients with several conditions compared admitted to merged or acquired hospitals to patients admitted to 266 rural hospitals that remained independent.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel M. Henke, Teresa P. Gibson
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Opportunities Exist to Strengthen Evaluation and Oversight of Telehealth for Behavioral Health in Medicaid
Explores how 37 states evaluated and conducted oversight of telehealth for behavioral health services for Medicaid enrollees in January and February 2020. Discusses states' experiences with telehealth and the impacts of telehealth on access to care, as well as concerns regarding the impact of these services on cost and quality of care. Provides recommendations for states the Centers for Medicare and Medicaid Services (CMS) to meet the behavioral health needs of Medicaid enrollees and prevent fraud, waste, and abuse.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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Explores how 37 states evaluated and conducted oversight of telehealth for behavioral health services for Medicaid enrollees in January and February 2020. Discusses states' experiences with telehealth and the impacts of telehealth on access to care, as well as concerns regarding the impact of these services on cost and quality of care. Provides recommendations for states the Centers for Medicare and Medicaid Services (CMS) to meet the behavioral health needs of Medicaid enrollees and prevent fraud, waste, and abuse.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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States Reported Multiple Challenges with Using Telehealth to Provide Behavioral Health Services to Medicaid Enrollees
Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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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 sex, age, rural status, household income, and more.
Date: 09/2021
Sponsoring organization: U.S. Department of Health and Human Services
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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 sex, age, rural status, household income, and more.
Date: 09/2021
Sponsoring organization: U.S. Department of Health and Human Services
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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
Sponsoring organization: Centers for Medicare and Medicaid Services
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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
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
Sponsoring organization: Medicare Payment Advisory Commission
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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
Sponsoring organization: Medicare Payment Advisory Commission
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