Rural Health
Resources by Topic: Healthcare business and finance
The Financial Health of Colorado Hospitals: Trends 2011-2015
Provides economic, pricing, and quality information on Colorado's hospitals. Shares data from public sources in order to improve healthcare transparency, affordability, and quality. Tracks trends among Colorado's hospitals, including Critical Access and small/rural hospitals, and provides individualized, facility-level statistics on employment, utilization, and finance.
Date: 10/2017
Sponsoring organization: Colorado Hospital Association
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Provides economic, pricing, and quality information on Colorado's hospitals. Shares data from public sources in order to improve healthcare transparency, affordability, and quality. Tracks trends among Colorado's hospitals, including Critical Access and small/rural hospitals, and provides individualized, facility-level statistics on employment, utilization, and finance.
Date: 10/2017
Sponsoring organization: Colorado Hospital Association
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Access To Obstetric Services In Rural Counties Still Declining, With 9 Percent Losing Services, 2004-14
Results of a study identifying gaps in the availability of hospital-based obstetric services in rural America, and providing evidence of disparities in local access to obstetric services in vulnerable rural communities. Includes statistics on percentages of rural counties by status of hospital obstetric services from 2004–14, with breakdowns by micropolitan or noncore location, and a county-level map with shadings indicating full closure, continuous services, or no services.
Author(s): Peiyin Hung, Carrie E. Henning-Smith, Michelle M. Casey, Katy B. Kozhimannil
Citation: Health Affairs, 36(9), 1663-1671
Date: 09/2017
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Results of a study identifying gaps in the availability of hospital-based obstetric services in rural America, and providing evidence of disparities in local access to obstetric services in vulnerable rural communities. Includes statistics on percentages of rural counties by status of hospital obstetric services from 2004–14, with breakdowns by micropolitan or noncore location, and a county-level map with shadings indicating full closure, continuous services, or no services.
Author(s): Peiyin Hung, Carrie E. Henning-Smith, Michelle M. Casey, Katy B. Kozhimannil
Citation: Health Affairs, 36(9), 1663-1671
Date: 09/2017
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The Effects of Multiple Chronic Conditions on Adult Patient Readmissions and Hospital Finances
Reports on a study of the financial impact of patients hospitalized with multiple chronic conditions on a regional hospital serving rural Virginia. Focuses on total margin per admission, readmission rates, and the number of clinical conditions per patient. Identifies differences in hospital margin for patients with different chronic conditions, such as chronic obstructive pulmonary disorder (COPD). Discusses the potential return on investment for preventing admissions and readmissions.
Author(s): Michael Mihailoff, Shreyasi Deb, James A. Lee, Joanne Lynn
Citation: Inquiry, 54, 1-6
Date: 09/2017
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Reports on a study of the financial impact of patients hospitalized with multiple chronic conditions on a regional hospital serving rural Virginia. Focuses on total margin per admission, readmission rates, and the number of clinical conditions per patient. Identifies differences in hospital margin for patients with different chronic conditions, such as chronic obstructive pulmonary disorder (COPD). Discusses the potential return on investment for preventing admissions and readmissions.
Author(s): Michael Mihailoff, Shreyasi Deb, James A. Lee, Joanne Lynn
Citation: Inquiry, 54, 1-6
Date: 09/2017
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Using Telehealth to Identify and Manage Mental Health and Substance Use Disorder Conditions in Rural Areas
Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Medicare Inappropriately Paid Acute-Care Hospitals for Outpatient Services They Provided to Beneficiaries Who Were Inpatients of Other Facilities
Results of an audit to determine whether Medicare made payments appropriately to acute-care hospitals for outpatient services provided to other facilities' inpatients, from January 2013 through August 2016. Includes recommendations from the Office of Inspector General, and CMS's responses.
Additional links: Report in Brief
Author(s): Daniel R. Levinson
Date: 09/2017
Sponsoring organization: U.S. Department of Health and Human Services
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Results of an audit to determine whether Medicare made payments appropriately to acute-care hospitals for outpatient services provided to other facilities' inpatients, from January 2013 through August 2016. Includes recommendations from the Office of Inspector General, and CMS's responses.
Additional links: Report in Brief
Author(s): Daniel R. Levinson
Date: 09/2017
Sponsoring organization: U.S. Department of Health and Human Services
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Evaluation of the Minnesota Accountable Health Model
Describes the final results of Minnesota's State Innovation Model (SIM) initiative evaluation sponsored by the Centers for Medicare and Medicaid (CMS). Includes information on SIM investments in rural counties, considerations to strengthen and support infrastructure to advance integrated health partnerships in rural areas, and engagement strategies to include rural clinics and providers in Health Care Homes care coordination cost study.
Author(s): Donna Spencer, Christina Worrall, Emily Zylla, et al.
Date: 09/2017
Sponsoring organization: State Health Access Data Assistance Center
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Describes the final results of Minnesota's State Innovation Model (SIM) initiative evaluation sponsored by the Centers for Medicare and Medicaid (CMS). Includes information on SIM investments in rural counties, considerations to strengthen and support infrastructure to advance integrated health partnerships in rural areas, and engagement strategies to include rural clinics and providers in Health Care Homes care coordination cost study.
Author(s): Donna Spencer, Christina Worrall, Emily Zylla, et al.
Date: 09/2017
Sponsoring organization: State Health Access Data Assistance Center
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What is the Quality Payment Program?
Provides an overview of the Quality Payment Program (QPP) and its two associated payment tracks: the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs). Describes how the QPP may affect rural practices and includes links to additional resources.
Date: 09/2017
Sponsoring organization: National Organization of State Offices of Rural Health
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Provides an overview of the Quality Payment Program (QPP) and its two associated payment tracks: the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs). Describes how the QPP may affect rural practices and includes links to additional resources.
Date: 09/2017
Sponsoring organization: National Organization of State Offices of Rural Health
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Medicare Performance-Based Payment Adjustment Programs
Describes three Medicare Performance-Based Payment Adjustment programs for hospitals: the Hospital Acquired Condition Reduction Program (HACRP), the Hospital Readmission Reduction Program (HRRP), and the Hospital Value-Based Purchasing Program (HVBPP). Explains how these programs may affect rural hospitals.
Date: 09/2017
Sponsoring organization: National Organization of State Offices of Rural Health
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Describes three Medicare Performance-Based Payment Adjustment programs for hospitals: the Hospital Acquired Condition Reduction Program (HACRP), the Hospital Readmission Reduction Program (HRRP), and the Hospital Value-Based Purchasing Program (HVBPP). Explains how these programs may affect rural hospitals.
Date: 09/2017
Sponsoring organization: National Organization of State Offices of Rural Health
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MedPAC Report to the Congress: Regional Variation in Medicare Part A, Part B, and Part D Spending and Service Use
Compares Medicare spending and service use based on geographic location, including across metropolitan and nonmetropolitan areas. Seeks to identify factors that influence regional variation and determine if higher service use and/or spending results in higher quality care and outcomes. Utilizes updated data to build on findings that were published in the January 2011 Report to the Congress: Regional Variation in Medicare Service Use. Data is adjusted to account for differences in payment rates to certain providers, such as Critical Access Hospitals.
Date: 09/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Compares Medicare spending and service use based on geographic location, including across metropolitan and nonmetropolitan areas. Seeks to identify factors that influence regional variation and determine if higher service use and/or spending results in higher quality care and outcomes. Utilizes updated data to build on findings that were published in the January 2011 Report to the Congress: Regional Variation in Medicare Service Use. Data is adjusted to account for differences in payment rates to certain providers, such as Critical Access Hospitals.
Date: 09/2017
Sponsoring organization: Medicare Payment Advisory Commission
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Three Annual Report
Third annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Focuses on sharing cross-state progress and findings, state-specific findings and lessons learned, and lessons for policymakers. Additional emphasis is placed on monitoring healthcare experience, utilization, and expenditures in participating SIM states.
Date: 09/2017
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Third annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Focuses on sharing cross-state progress and findings, state-specific findings and lessons learned, and lessons for policymakers. Additional emphasis is placed on monitoring healthcare experience, utilization, and expenditures in participating SIM states.
Date: 09/2017
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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