Rural Health
Resources by Topic: Healthcare business and finance
Access in Brief: Rural and Urban Health Care
Compares healthcare access and use of services for children and adults with Medicaid to those with private insurance or no insurance for both rural and urban areas and for adults with disabilities. Includes access data by age group, income, and race/ethnicity and utilization data for office and emergency room visits. Addresses access to prescription drugs and eyeglasses as well as barriers to healthcare access.
Date: 10/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Compares healthcare access and use of services for children and adults with Medicaid to those with private insurance or no insurance for both rural and urban areas and for adults with disabilities. Includes access data by age group, income, and race/ethnicity and utilization data for office and emergency room visits. Addresses access to prescription drugs and eyeglasses as well as barriers to healthcare access.
Date: 10/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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State Options for Promoting Recovery among Pregnant and Parenting Women with Opioid or Substance Use Disorder
Reports on interviews with health officials in Texas, Colorado, and Pennsylvania regarding how their states help pregnant women and young mothers with substance use disorders, focusing on opioids. Discusses Medicaid's role, funding sources of state initiatives, medication-assisted treatment, and issues for incarcerated women. Includes considerations and examples related to rural health throughout.
Author(s): Becky Normile, Carrie Hanlon, Hannah Eichner
Date: 10/2018
Sponsoring organization: National Academy for State Health Policy
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Reports on interviews with health officials in Texas, Colorado, and Pennsylvania regarding how their states help pregnant women and young mothers with substance use disorders, focusing on opioids. Discusses Medicaid's role, funding sources of state initiatives, medication-assisted treatment, and issues for incarcerated women. Includes considerations and examples related to rural health throughout.
Author(s): Becky Normile, Carrie Hanlon, Hannah Eichner
Date: 10/2018
Sponsoring organization: National Academy for State Health Policy
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Report to Congress: Rural Community Hospital Demonstration
Summarizes findings from the Rural Community Hospital Demonstration (RCHD) over the twelve years authorized by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and the Patient Protection and Affordable Care Act (ACA). Reports on the characteristics of the participating hospitals and the effect of the demonstration on hospital finances and other outcomes. Also discusses steps the hospitals expected to take at the end of the demonstration, if it had not been extended for an additional five years by the 21st Century Cures Act of 2016.
Date: 10/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes findings from the Rural Community Hospital Demonstration (RCHD) over the twelve years authorized by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and the Patient Protection and Affordable Care Act (ACA). Reports on the characteristics of the participating hospitals and the effect of the demonstration on hospital finances and other outcomes. Also discusses steps the hospitals expected to take at the end of the demonstration, if it had not been extended for an additional five years by the 21st Century Cures Act of 2016.
Date: 10/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Addressing Social Determinants of Health Needs of Dually Enrolled Beneficiaries in Medicare Advantage Plans: Findings from Interviews and Case Studies
Examines structures and approaches used by Medicare Advantage (MA) plans for dually enrolled and other high-cost beneficiaries. Includes case studies showcasing care models and how organizations are addressing social determinants of health for these beneficiaries. Discusses some challenges for rural areas and small community partnerships.
Author(s): Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, et al.
Date: 10/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines structures and approaches used by Medicare Advantage (MA) plans for dually enrolled and other high-cost beneficiaries. Includes case studies showcasing care models and how organizations are addressing social determinants of health for these beneficiaries. Discusses some challenges for rural areas and small community partnerships.
Author(s): Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, et al.
Date: 10/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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MedPAC Comment on CMS's Proposed Rule on Medicare Shared Savings Program ACOs
Comments on an August 17, 2018, Federal Register proposed rule changing the Medicare Shared Savings Program (MSSP). Focuses on the proposed changes for Accountable Care Organizations (ACOs), including a move to two-sided risk models, using regional spending benchmarks, and more. Addresses potential impacts for small ACOs, which include rural ACOs.
Date: 10/2018
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an August 17, 2018, Federal Register proposed rule changing the Medicare Shared Savings Program (MSSP). Focuses on the proposed changes for Accountable Care Organizations (ACOs), including a move to two-sided risk models, using regional spending benchmarks, and more. Addresses potential impacts for small ACOs, which include rural ACOs.
Date: 10/2018
Sponsoring organization: Medicare Payment Advisory Commission
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Developing Telemental Health Partnerships Between State Medical Schools and Federally Qualified Health Centers: Navigating the Regulatory Landscape and Policy Recommendations
Provides recommendations for overcoming barriers to promoting telemental health services partnerships between medical schools and health centers. Discusses rural-urban disparities in provision of mental health services, credentialing, remote electronic health records access, insurance issues, and billing.
Author(s): John C. Fortney, Richard C. Veith, Amy M. Bauer, et al.
Citation: Journal of Rural Health, 35(3), 287-297
Date: 10/2018
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Provides recommendations for overcoming barriers to promoting telemental health services partnerships between medical schools and health centers. Discusses rural-urban disparities in provision of mental health services, credentialing, remote electronic health records access, insurance issues, and billing.
Author(s): John C. Fortney, Richard C. Veith, Amy M. Bauer, et al.
Citation: Journal of Rural Health, 35(3), 287-297
Date: 10/2018
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CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 5 Evaluation & Monitoring Annual Report
Shares 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.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares 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.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Factors Affecting the Development of Medicaid Hospital Payment Policies: Findings from Structured Interviews in Five States
Study examining Medicaid hospital payment policies with a focus on factors affecting payment mix and structure, the impact of state policies and financing methods, how states target hospital services or types such as rural hospitals, barriers to and drivers of change to payment methods, and more. Focuses on 5 states that made or are making significant hospital policy changes: Arizona, Louisiana, Michigan, Mississippi, and Virginia. Appendix B includes state profiles.
Author(s): Thomas Marks, Kathy Gifford, Steven Perlin, Melisa Byrd, Timothy Beger
Date: 10/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Study examining Medicaid hospital payment policies with a focus on factors affecting payment mix and structure, the impact of state policies and financing methods, how states target hospital services or types such as rural hospitals, barriers to and drivers of change to payment methods, and more. Focuses on 5 states that made or are making significant hospital policy changes: Arizona, Louisiana, Michigan, Mississippi, and Virginia. Appendix B includes state profiles.
Author(s): Thomas Marks, Kathy Gifford, Steven Perlin, Melisa Byrd, Timothy Beger
Date: 10/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Federal Legislation to Address the Opioid Crisis: Medicaid Provisions in the SUPPORT Act
Brief details the Medicaid provisions in the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act. Discusses provisions aimed at treating substance use disorder(SUD) in rural areas.
Author(s): MaryBeth Musumeci, Jennifer Tolbert
Date: 10/2018
Sponsoring organization: KFF
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Brief details the Medicaid provisions in the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act. Discusses provisions aimed at treating substance use disorder(SUD) in rural areas.
Author(s): MaryBeth Musumeci, Jennifer Tolbert
Date: 10/2018
Sponsoring organization: KFF
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More Employers Are Paying for Telemedicine, but Enrollee Take-Up Has Been Relatively Low
Analyzes 2018 Employer Health Benefit Survey (EHBS) data regarding telemedicine trends in employer health plan coverage. Includes discussion on telemedicine improving access to healthcare in rural areas. Covers statistics of telemedicine utilization between rural and urban large employer health plan enrollees.
Author(s): Matthew Rae, Cynthia Cox
Date: 10/2018
Sponsoring organization: KFF
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Analyzes 2018 Employer Health Benefit Survey (EHBS) data regarding telemedicine trends in employer health plan coverage. Includes discussion on telemedicine improving access to healthcare in rural areas. Covers statistics of telemedicine utilization between rural and urban large employer health plan enrollees.
Author(s): Matthew Rae, Cynthia Cox
Date: 10/2018
Sponsoring organization: KFF
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