Rural Health
Resources by Topic: Healthcare business and finance
Care Systems COVID-19 Impact Assessment: Lessons Learned and Compelling Needs
Explores the clinical and public health responses and experiences of hospitals and health systems during the COVID-19 pandemic. Presents policy actions and policy considerations to leverage the lessons of the pandemic to improve health system financing, infrastructure, and coordination. Includes information on challenges and priority areas for consideration for rural hospitals and Critical Access Hospitals.
Author(s): Jeffrey Balser, Jaewon Ryu, Michelle Hood, et al.
Date: 04/2021
Sponsoring organization: National Academy of Medicine
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Explores the clinical and public health responses and experiences of hospitals and health systems during the COVID-19 pandemic. Presents policy actions and policy considerations to leverage the lessons of the pandemic to improve health system financing, infrastructure, and coordination. Includes information on challenges and priority areas for consideration for rural hospitals and Critical Access Hospitals.
Author(s): Jeffrey Balser, Jaewon Ryu, Michelle Hood, et al.
Date: 04/2021
Sponsoring organization: National Academy of Medicine
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Texas Primary Care Office Needs Assessment, 2021
Reports on healthcare disparities, communities with unmet healthcare needs, and barriers to primary, mental, and dental healthcare access in Texas. Includes data and discussion of healthcare workforce shortages and shortage designations, Texas Primary Care Office programs and services, state demographics, and more. Mentions rural throughout, with pages 37-41 discussing rural-specific health outcomes and service availability challenges in depth.
Date: 03/2021
Sponsoring organizations: Texas Health and Human Services, Texas Primary Care Office
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Reports on healthcare disparities, communities with unmet healthcare needs, and barriers to primary, mental, and dental healthcare access in Texas. Includes data and discussion of healthcare workforce shortages and shortage designations, Texas Primary Care Office programs and services, state demographics, and more. Mentions rural throughout, with pages 37-41 discussing rural-specific health outcomes and service availability challenges in depth.
Date: 03/2021
Sponsoring organizations: Texas Health and Human Services, Texas Primary Care Office
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Predicting Hospital Choice for Rural Residents Seeking Elective Surgery
Webinar summarizing research on patient choice in elective surgery. Discusses the impact of patient choice on rural hospital financial viability, patient and hospital factors impacting choice, and opportunities for further research. Transcript available in the video description.
Date: 03/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Webinar summarizing research on patient choice in elective surgery. Discusses the impact of patient choice on rural hospital financial viability, patient and hospital factors impacting choice, and opportunities for further research. Transcript available in the video description.
Date: 03/2021
Sponsoring organization: North Carolina Rural Health Research Program
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March 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2021 meeting. Features a discussion on rural Medicare beneficiaries' access to care. Also covers the skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, balancing efficiency with equity in Medicare Advantage benchmark policy, and the relationship between clinician services and other Medicare services.
Date: 03/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2021 meeting. Features a discussion on rural Medicare beneficiaries' access to care. Also covers the skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, balancing efficiency with equity in Medicare Advantage benchmark policy, and the relationship between clinician services and other Medicare services.
Date: 03/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Access to Marketplace Plans with Low Premiums on the Federal Platform Part I: Availability among Uninsured Non-Elderly Adults and Healthcare.gov Enrollees Prior to the American Rescue Plan
Analyzes access to federally-sponsored Health Insurance Marketplace low premium plans among uninsured non-elderly adults as of March 1, 2021, prior to the enhanced subsidies created by American Rescue Plan (ARP). Table 2 includes demographic data for the uninsured non-elderly adult population and current HealthCare.gov enrollees on zero- and low-premium plan availability by rural status, age, income, and race/ethnicity.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 03/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes access to federally-sponsored Health Insurance Marketplace low premium plans among uninsured non-elderly adults as of March 1, 2021, prior to the enhanced subsidies created by American Rescue Plan (ARP). Table 2 includes demographic data for the uninsured non-elderly adult population and current HealthCare.gov enrollees on zero- and low-premium plan availability by rural status, age, income, and race/ethnicity.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 03/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 7 Evaluation & Monitoring Annual Report
Seventh and final report describing findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals, skilled nursing facilities, and home health agencies.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Seventh and final report describing findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals, skilled nursing facilities, and home health agencies.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS Bundled Payments for Care Improvement Advanced Model: Year 2 Evaluation Report
Second annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018, through January 1, 2020. Describes participants in the model; clinical episodes included; the reach of the model; and the impact of BPCI Advanced on episode payments, utilization, and quality of care. Includes information on rural hospital participation in the model.
Additional links: Appendices
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Second annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018, through January 1, 2020. Describes participants in the model; clinical episodes included; the reach of the model; and the impact of BPCI Advanced on episode payments, utilization, and quality of care. Includes information on rural hospital participation in the model.
Additional links: Appendices
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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State-Driven Initiatives to Support Moving to Value-Based Care in the Era of COVID-19
Describes four areas where state-driven strategies can facilitate and promote the adoption of value-based payment (VBP) models. Presents case examples throughout, including the Pennsylvania Rural Health Model. Discusses how additional federal actions could support transitions to VBP at the state level.
Author(s): Caroline Picher, Lauren Block, Mark Japinga, Hemi Tewarson
Date: 03/2021
Sponsoring organizations: Duke-Margolis Center for Health Policy, National Governors Association
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Describes four areas where state-driven strategies can facilitate and promote the adoption of value-based payment (VBP) models. Presents case examples throughout, including the Pennsylvania Rural Health Model. Discusses how additional federal actions could support transitions to VBP at the state level.
Author(s): Caroline Picher, Lauren Block, Mark Japinga, Hemi Tewarson
Date: 03/2021
Sponsoring organizations: Duke-Margolis Center for Health Policy, National Governors Association
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Meeting the Needs of Older Adults Living in Rural Communities: The Roles of Area Agencies on Aging
Presents results from the 2019 National Survey of Area Agencies on Aging. Describes the role of Area Agencies on Aging (AAA) in serving older adults in rural communities. Compares the organizational structure, services and programs offered, budget, and workforce of rural and non-rural AAAs.
Date: 03/2021
Sponsoring organization: USAging
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Presents results from the 2019 National Survey of Area Agencies on Aging. Describes the role of Area Agencies on Aging (AAA) in serving older adults in rural communities. Compares the organizational structure, services and programs offered, budget, and workforce of rural and non-rural AAAs.
Date: 03/2021
Sponsoring organization: USAging
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Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration
Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Sponsoring organization: Bipartisan Policy Center
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Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Sponsoring organization: Bipartisan Policy Center
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