Rural Health
Resources by Topic: Healthcare business and finance
Implementation Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Presents findings on implementation progress, successes, and challenges regarding CCBHC staffing, access to care, scope of required services, and care coordination. Includes rural references and case studies throughout.
Author(s): Allison Wishon Siegwarth, Rachel Miller, Jasmine Little, et al.
Date: 09/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Presents findings on implementation progress, successes, and challenges regarding CCBHC staffing, access to care, scope of required services, and care coordination. Includes rural references and case studies throughout.
Author(s): Allison Wishon Siegwarth, Rachel Miller, Jasmine Little, et al.
Date: 09/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research
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Rural-Relevant Quality Measures for Testing of Statistical Approaches to Address Low Case-Volume
Describes 15 rural-relevant quality measures susceptible to low case-volume challenges that could be used to test statistical approaches designed to address this problem. Discusses reporting challenges and gaps in rural health care quality measurement.
Additional links: Final List: Rural-Relevant Quality Measures for Future Testing of Technical Expert Panel (TEP) Recommended Statistical Approaches
Date: 09/2020
Sponsoring organization: National Quality Forum
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Describes 15 rural-relevant quality measures susceptible to low case-volume challenges that could be used to test statistical approaches designed to address this problem. Discusses reporting challenges and gaps in rural health care quality measurement.
Additional links: Final List: Rural-Relevant Quality Measures for Future Testing of Technical Expert Panel (TEP) Recommended Statistical Approaches
Date: 09/2020
Sponsoring organization: National Quality Forum
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Taskforce on Telehealth Policy (TTP) Findings and Recommendations
Report from the Taskforce on Telehealth Policy (TTP) examining the rapid expansion of telehealth use during the COVID-19 pandemic and possible permanent shifts in telehealth policy. Offers findings and policy recommendations related to patient safety, program integrity, data flow and care coordination, quality measurement, cost of care, and overarching issues.
Date: 09/2020
Sponsoring organizations: Alliance for Connected Care, ATA, National Committee for Quality Assurance
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Report from the Taskforce on Telehealth Policy (TTP) examining the rapid expansion of telehealth use during the COVID-19 pandemic and possible permanent shifts in telehealth policy. Offers findings and policy recommendations related to patient safety, program integrity, data flow and care coordination, quality measurement, cost of care, and overarching issues.
Date: 09/2020
Sponsoring organizations: Alliance for Connected Care, ATA, National Committee for Quality Assurance
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Urban Hospitals with a High Percentage of Inpatient Days for Rural Patients
Results of a study evaluating differences in urban hospitals with high and low percentages of rural inpatient days. Features a map showing locations of urban hospitals with greater than 40% rural inpatient days and statistics on urban hospitals with breakdowns by rural inpatient day percentage categories and Medicare payment classifications.
Author(s): Randall John, Kathleen Knocke, George H. Pink
Date: 09/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Results of a study evaluating differences in urban hospitals with high and low percentages of rural inpatient days. Features a map showing locations of urban hospitals with greater than 40% rural inpatient days and statistics on urban hospitals with breakdowns by rural inpatient day percentage categories and Medicare payment classifications.
Author(s): Randall John, Kathleen Knocke, George H. Pink
Date: 09/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Evaluation of the Accountable Care Organization Investment Model: Final Report
Examines the ACO Investment Model (AIM) over three performance years. AIM tested the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk. Reports on AIM results related to ACO formation, risk-taking, and sustainability, including the impact of rurality. Also discusses impacts on healthcare costs, utilization, and quality of care.
Additional links: Appendices, CMS Perspective Report, Findings at a Glance
Date: 09/2020
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Examines the ACO Investment Model (AIM) over three performance years. AIM tested the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk. Reports on AIM results related to ACO formation, risk-taking, and sustainability, including the impact of rurality. Also discusses impacts on healthcare costs, utilization, and quality of care.
Additional links: Appendices, CMS Perspective Report, Findings at a Glance
Date: 09/2020
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Evaluation of the Health Care Innovation Awards, Round 2: Final Report
Summarizes the final evaluation results of 38 Health Care Innovation Awards Round Two projects. Discusses program impacts on healthcare service use and costs, factors associated with positive impacts, and awardees' experiences sustaining programs and implementing payment models after the end of the awards. Offers overall findings and awardee-specific evaluation reports. Includes some information on results for projects serving rural areas.
Additional links: Findings at a Glance
Date: 09/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Summarizes the final evaluation results of 38 Health Care Innovation Awards Round Two projects. Discusses program impacts on healthcare service use and costs, factors associated with positive impacts, and awardees' experiences sustaining programs and implementing payment models after the end of the awards. Offers overall findings and awardee-specific evaluation reports. Includes some information on results for projects serving rural areas.
Additional links: Findings at a Glance
Date: 09/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Uninsured Rates Across Kansas Counties, September 2020
Provides data and statistics on uninsured rates in Kansas. Fact sheets feature state maps with county-level information on child and adult uninsured rates and numbers, as well as potential eligibility for Medicaid and KanCare. Includes rural and urban comparisons.
Author(s): Phillip Steiner, Wen-Chieh Lin
Date: 09/2020
Sponsoring organization: Kansas Health Institute
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Provides data and statistics on uninsured rates in Kansas. Fact sheets feature state maps with county-level information on child and adult uninsured rates and numbers, as well as potential eligibility for Medicaid and KanCare. Includes rural and urban comparisons.
Author(s): Phillip Steiner, Wen-Chieh Lin
Date: 09/2020
Sponsoring organization: Kansas Health Institute
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Rural Action Plan
Provides an overview of the rural health care and human services landscape. Outlines a Four-Point strategy to build a sustainable health and human services model for rural communities, leverage technology and innovation, focus on preventing disease and mortality, and increase rural access to care. Identifies opportunities to transform rural health and human services through federal government partnership and describes new policies and programs to implement the Four-Point Strategy. Highlights actions already taken by the U.S. Department of Health and Human Services to support rural communities.
Date: 09/2020
Sponsoring organization: U.S. Department of Health and Human Services
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Provides an overview of the rural health care and human services landscape. Outlines a Four-Point strategy to build a sustainable health and human services model for rural communities, leverage technology and innovation, focus on preventing disease and mortality, and increase rural access to care. Identifies opportunities to transform rural health and human services through federal government partnership and describes new policies and programs to implement the Four-Point Strategy. Highlights actions already taken by the U.S. Department of Health and Human Services to support rural communities.
Date: 09/2020
Sponsoring organization: U.S. Department of Health and Human Services
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MedPAC Comment on CMS's Proposed Rule on the ESRD PPS for CY 2021
Comments on a July 13, 2020, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the ESRD Quality Incentive Program and changes to geographic area delineations.
Date: 09/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a July 13, 2020, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the ESRD Quality Incentive Program and changes to geographic area delineations.
Date: 09/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Funding and Service Delivery in Rural and Urban Local US Health Departments in 2010 and 2016
Uses nationally representative data from 2010 and 2016 to explore rural/urban differences in local health department (LHD) funding and service delivery. Includes data and statistics on LHD characteristics, sources of revenue, and types of services provided by LHDs, with information broken down by rurality.
Author(s): Kate Beatty, Megan Heffernan, Nathan Hale, Michael Meit
Citation: American Journal of Public Health, 110(9), 1293-1299
Date: 09/2020
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Uses nationally representative data from 2010 and 2016 to explore rural/urban differences in local health department (LHD) funding and service delivery. Includes data and statistics on LHD characteristics, sources of revenue, and types of services provided by LHDs, with information broken down by rurality.
Author(s): Kate Beatty, Megan Heffernan, Nathan Hale, Michael Meit
Citation: American Journal of Public Health, 110(9), 1293-1299
Date: 09/2020
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