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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Financing Project ECHO: Options for State Medicaid Programs
Outlines how 4 states are using Medicaid funds to support Project ECHO and enhance services in California, Colorado, New Mexico, and Oregon. Shares design considerations for specific delivery system environments and ways to ensure long-term program sustainability. Project ECHO seeks to expand access to specialty healthcare services in rural and underserved areas.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Sponsoring organization: Center for Health Care Strategies
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Medicaid Financing Models for Project ECHO
Explains the different Medicaid financing mechanisms available for supporting current and potential Project ECHO strategies. Options are listed in table format and organized into three categories: managed care, care management programs, and value-based payment strategies and integrated care programs.
Date: 09/2017
Sponsoring organization: Center for Health Care Strategies
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Health Insurance Coverage in the United States: 2016
Provides statistics on health insurance coverage in 2016 and also focuses on changes between 2015 and 2016, as well as changes between 2013 and 2016. Tables 5 and A-4 list statistics for metropolitan and non-metropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Author(s): Jessica C. Barnett, Edward R. Berchick
Date: 09/2017
Sponsoring organization: U.S. Census Bureau
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Rural-Urban Variations in Medicare Live Discharge Patterns from Hospice, 2012-2013
Details a study on the instances of live discharges from the Medicare hospice program from 2012-2013. Compares rural and urban discharge rates, as well as for-profit and nonprofit business models.
Author(s): Rachel Dolin, Denise Kirk, Mark Holmes
Date: 09/2017
Sponsoring organization: North Carolina Rural Health Research Program
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Undertriage of Pediatric Major Trauma Patients in the United States
Features a study of trauma undertriage for children under 16. Draws data from the National Emergency Department Sample (NEDS). Looks at age, gender, primary payer, and rural status of patients, among other measures.
Author(s): Jin Peng, Krista Wheeler, Jonathan I. Groner, et al.
Citation: Clinical Pediatrics, 56(9), 845-853
Date: 08/2017
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Promoting Integrated and Coordinated Care that Addresses Social Risk for the Dual Eligible Beneficiary Population, 2017
Describes the Measure Applications Partnership's (MAP) recent recommendations and guidance on the use of performance measures to assess and improve healthcare for dually eligible individuals/beneficiaries. Examines current measure gaps, updates to address these gaps, and measures that can help address social risk factors and health disparities. Includes a discussion on categorizing rural location as a social risk factor.
Date: 08/2017
Sponsoring organization: National Quality Forum
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State Innovation Models (SIM) Round 2: Model Design Final Report
Shares results from a federal evaluation of the Round 2 State Innovation Models (SIM) Initiative awards, which focused on reforming payment and delivery systems, health information exchanges, workforce development, and sustainability. Provides a summary and review of each awardees' final State Health System Innovations Plan (SHSIP). Includes several suggestions and recommendations for improving rural healthcare delivery, payment, and access.
Author(s): Donald Nichols, Kathleen Farrell, Marisa Morrison, et al.
Date: 08/2017
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Status of Telemedicine in Missouri
Provides background information on rural healthcare issues in Missouri and discusses the value of using telehealth to improve rural healthcare access. Discusses policy recommendations such as broadband access and details about eligibility and payment requirements for telemedicine.
Author(s): Dave Dillon, Jim Mikes
Date: 08/2017
Sponsoring organization: Missouri Hospital Association
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Coteau des Prairies Keeping Services Close to Home
Follows South Dakota-based Coteau des Prairies Health System's (CDP) progress as part of the Small Rural Hospital Transition (SRHT) project. CDP completed a financial operational assessment (FOA) with the goal of positioning the hospital for future financial success. Primary areas of improvement include revenue cycle management, HCAHPS scores, executive communication, and swing bed utilization.
Additional links: One-Page Summary
Date: 08/2017
Sponsoring organization: National Rural Health Resource Center
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Response to Commentary: Partnered Research to Improve Health of Rural Veterans
Describes how VA-funded Centers of Innovation (COINs) develop strategies optimizing care for veterans in rural areas. Focuses on programs in Salt Lake City, Utah; West Haven, Connecticut; and North Little Rock, Arkansas.
Author(s): Teresa Hudson
Date: 08/2017
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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