Rural Health
Resources by Topic: Healthcare business and finance
Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Basics of Value-based Care and Payment
Slides presented to the Rural Healthcare Provider Transition Project (RHPTP) providing an overview of value-based care and payment models. Includes examples of rural providers addressing patient social needs, tackling local health issues, and aligning services with community needs.
Author(s): Jennifer P. Lundblad
Date: 06/2021
Sponsoring organization: Rural Health Value
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Slides presented to the Rural Healthcare Provider Transition Project (RHPTP) providing an overview of value-based care and payment models. Includes examples of rural providers addressing patient social needs, tackling local health issues, and aligning services with community needs.
Author(s): Jennifer P. Lundblad
Date: 06/2021
Sponsoring organization: Rural Health Value
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2022
Comments on a May 10, 2021, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals on rate-setting in both the hospital and LTCH prospective payment systems, the use of "market-based" data to set Medicare severity–diagnosis related group (MS–DRG) relative weights, and changes to rural reclassification cancellation requirements for hospitals.
Date: 06/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 10, 2021, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals on rate-setting in both the hospital and LTCH prospective payment systems, the use of "market-based" data to set Medicare severity–diagnosis related group (MS–DRG) relative weights, and changes to rural reclassification cancellation requirements for hospitals.
Date: 06/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Small Area Health Insurance Estimates: 2019
Reports on health insurance coverage in the U.S. in 2018 and changes between 2018 and 2019, as well as changes between 2013 and 2019. Includes maps showing county-level uninsured rates.
Author(s): Sara Robinson, Katherine Ann Willyard
Date: 06/2021
Sponsoring organization: U.S. Census Bureau
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Reports on health insurance coverage in the U.S. in 2018 and changes between 2018 and 2019, as well as changes between 2013 and 2019. Includes maps showing county-level uninsured rates.
Author(s): Sara Robinson, Katherine Ann Willyard
Date: 06/2021
Sponsoring organization: U.S. Census Bureau
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Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2019
Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale
Date: 06/2021
Sponsoring organization: Flex Monitoring Team
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Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale
Date: 06/2021
Sponsoring organization: Flex Monitoring Team
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Understanding the Value of the Medicaid Non-Emergency Medical Transportation Benefit
Presents findings from a focus group of 41 Medicaid enrollees in six states who have either used the non-emergency medical transportation (NEMT) benefit or are caring for a Medicaid beneficiary who has used the benefit. Describes the transportation barriers focus group participants face, their health care needs and the services they use NEMT to access, their experiences using NEMT, and suggestions for improving the benefit. Includes perspectives from rural beneficiaries.
Date: 06/2021
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, PerryUndem
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Presents findings from a focus group of 41 Medicaid enrollees in six states who have either used the non-emergency medical transportation (NEMT) benefit or are caring for a Medicaid beneficiary who has used the benefit. Describes the transportation barriers focus group participants face, their health care needs and the services they use NEMT to access, their experiences using NEMT, and suggestions for improving the benefit. Includes perspectives from rural beneficiaries.
Date: 06/2021
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, PerryUndem
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2021
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Chapter 5 presents an interim report on Medicare beneficiaries' access to care in rural areas. Also includes chapters on Medicare Advantage benchmark policy, alternative payment models, private equity and Medicare, the skilled nursing facility value-based purchasing program, indirect medical education payments, Medicare coverage of vaccines, separately payable drugs in the hospital outpatient prospective payment system, clinical laboratory fee schedule payment rates, and the relationship between clinician services and other Medicare services.
Additional links: Executive Summary
Date: 06/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Chapter 5 presents an interim report on Medicare beneficiaries' access to care in rural areas. Also includes chapters on Medicare Advantage benchmark policy, alternative payment models, private equity and Medicare, the skilled nursing facility value-based purchasing program, indirect medical education payments, Medicare coverage of vaccines, separately payable drugs in the hospital outpatient prospective payment system, clinical laboratory fee schedule payment rates, and the relationship between clinician services and other Medicare services.
Additional links: Executive Summary
Date: 06/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, June 2021
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Use of the Spatial Access Ratio to Measure Geospatial Access to Emergency General Surgery Services in California
Evaluates the ability of Spatial Access Ratio (SPAR) to identify disparities in emergency general surgery (EGS) access in California. Compares the locations of 238 EGS-capable hospitals to the location of California residents with focus on the socio-demographic characteristics of population size, poverty rate, health insurance coverage, and rural or urban status. Table 2 shows access to EGS hospitals by rurality, among other data. Discusses the use of SPAR to allocate resources differently.
Author(s): Marta McCrum, Neng Wan, Steven Lizotte, et al.
Citation: The Journal of Trauma and Acute Care Surgery, 90(5), 853-860
Date: 05/2021
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Evaluates the ability of Spatial Access Ratio (SPAR) to identify disparities in emergency general surgery (EGS) access in California. Compares the locations of 238 EGS-capable hospitals to the location of California residents with focus on the socio-demographic characteristics of population size, poverty rate, health insurance coverage, and rural or urban status. Table 2 shows access to EGS hospitals by rurality, among other data. Discusses the use of SPAR to allocate resources differently.
Author(s): Marta McCrum, Neng Wan, Steven Lizotte, et al.
Citation: The Journal of Trauma and Acute Care Surgery, 90(5), 853-860
Date: 05/2021
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Health in Rural Ohio: 2019 Update
Examines disparities in health conditions, insurance status, health behaviors, economic distress, and more in rural versus non-rural Ohioans based on the 2019 Ohio Medicaid Assessment Survey (OMAS).
Author(s): Anirudh V. S. Ruhil, Heather Robinson, Piyali Das, et al.
Date: 05/2021
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio Department of Aging, Ohio Department of Health, Ohio Department of Medicaid, Ohio Department of Mental Health and Addiction Services
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Examines disparities in health conditions, insurance status, health behaviors, economic distress, and more in rural versus non-rural Ohioans based on the 2019 Ohio Medicaid Assessment Survey (OMAS).
Author(s): Anirudh V. S. Ruhil, Heather Robinson, Piyali Das, et al.
Date: 05/2021
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio Department of Aging, Ohio Department of Health, Ohio Department of Medicaid, Ohio Department of Mental Health and Addiction Services
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