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Rural Health
Resources by Topic: Healthcare business and finance

Health Panel Comment Letter – Hospital Outpatient Prospective Payment System and Rural Emergency Hospitals
Comments offered in response to a July 26, 2022, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023 and establishing Rural Emergency Hospital (REH) payment policy, quality measures, and enrollment policy. Discusses telehealth services for mental healthcare; REH quality measures, telehealth, and Conditions of Participation; and the use of Centers for Medicare & Medicaid Services (CMS) data on hospital and skilled nursing facilities changes in ownership.
Date: 09/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Philanthropy, Cross-Collaboration, and the Ecosystem That Is Rural Healthcare Delivery: Q&A with Dr. Shao-Chee Sim
An interview with Shao-Chee Sim, PhD, vice president for research, innovation, and evaluation for the Texas-based Episcopal Health Foundation. Discusses how philanthropic organizations can support community engagement, make research investments, and leverage cross-funder collaboration to impact the rural healthcare delivery system.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Availability of Hospital-Based Cancer Services Before and After Rural Hospital Closure, 2008–2017
Explores the effect rural hospital closures have had on rural cancer care. Draws from American Hospital Association data from 2008 to 2017 and explores the differing outcomes hospital closures had on oncology care, radiation services, and cancer screening in rural areas.
Author(s): Whitney E. Zahnd, Peiyin Hung, Sylvia Kewei Shi, et al.
Citation: Journal of Rural Health
Date: 09/2022
Type: Document
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Beneficiary Experience, Affordability, Utilization, and Quality in Medicare Advantage and Traditional Medicare: A Review of the Literature
Summarizes the results of a review of 62 studies published between January 1, 2016, and May 1, 2022, that compare Medicare Advantage and traditional Medicare across beneficiary experience, affordability, service utilization, and quality. Includes information on Medicare enrollment patterns in rural areas and identifies gaps in research on rural Medicare beneficiaries and other subgroups. Builds on a literature review that examined studies published between 2000 and early 2014.
Author(s): Nancy Ochieng, Jeannie Fuglesten Biniek
Date: 09/2022
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Review of Rural U.S. Economic and Health Care Trends
Reviews recent literature and publicly available data to explore important issues at the nexus of healthcare and local economic vibrancy, and explores the economic implications associated with COVID-19. Includes sections on rural hospitals, the rural healthcare workforce, emergency medical services, insurance, and telehealth. Features statistics with breakdowns by 6 levels of population density and county-level maps showing Health Professional Shortage Areas and rural counties without obstetrical services.
Author(s): Alison Davis
Date: 09/2022
Type: Document
Sponsoring organization: Center for Economic Analysis of Rural Health
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MedPAC Comment on CMS's Proposed Rule on the Payment Systems for Hospital Outpatient Departments and Ambulatory Surgical Centers for 2023
Comments on a July 26, 2022, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023. Includes considerations for payment for 340B drugs, additional facility payments for Rural Emergency Hospitals, telehealth rehabilitation services beyond the COVID-19 public health emergency, and efforts for measuring equity and healthcare quality disparities.
Date: 09/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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A Recap of Medicaid Non-Emergency Medical Transportation (NEMT) Listening Sessions
Provides an overview of the impact of Medicaid Non-Emergency Medical Transportation (NEMT) services as well as feedback from mobility providers and stakeholders during Center for Medicare & Medicaid Services (CMS) listening sessions. Presents discussions about public transportation coordination, the relationship between transportation services and social determinants of health, implications of Transportation Network Companies (TNCs) on users with disabilities, and data reporting. Includes information specific to rural populations.
Date: 09/2022
Type: Document
Sponsoring organization: National Aging and Disability Transportation Center
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Rural Hospital Closures Threaten Access: Solutions to Preserve Care in Local Communities
Provides an overview of rural hospital closures between 2010-2021. Discusses rural demographics and outlines trends affecting rural hospital financial sustainability, including patient volume and health, reimbursement, staffing shortages, COVID-19, new models of care, and more.
Date: 09/2022
Type: Document
Sponsoring organization: American Hospital Association
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Certain Medicare Beneficiaries, Such as Urban and Hispanic Beneficiaries, Were More Likely Than Others To Use Telehealth During the First Year of the COVID-19 Pandemic
Data brief examining telehealth usage by Medicare beneficiaries during the first year of the COVID-19 pandemic, noting rural and urban differences, state-level trends, and usage by race/ethnicity and age according to Medicare Advantage and fee-for-service claims data. Offers policy recommendations and agency responses.
Date: 09/2022
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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MedPAC Comment on CMS's Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B for CY 2023
Comment on a July 29, 2022, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of the coverage of certain telehealth services after the COVID-19 public health emergency, as well as rebasing and revising the Medicare Economic Index (MEI).
Date: 09/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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