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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

International Classification of Disease: CMS's Efforts to Prepare for the New Version of the Disease and Procedure Codes
Review of the efforts undertaken by the Centers for Medicare and Medicaid Services (CMS) to prepare for the transition to the 10th revision of the International Classification of Diseases (ICD-10) codes. Evaluates the materials developed and activities undertaken by CMS to help providers' transition and describes concerns of stakeholder organizations, including rural-specific considerations.
Additional links: Full Report
Date: 01/2015
Sponsoring organization: Government Accountability Office
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Health Insurance Marketplace 2015 Open Enrollment Period: January Enrollment Report
Provides data on the 2015 Open Enrollment period, describing the number of Americans who enrolled in the individual, federally-sponsored health insurance Marketplace. Appendix Table A1 shows plan selection by gender, age, race, and rural status.
Date: 01/2015
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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The Need to Reform Medicare's Payments to Skilled Nursing Facilities Is as Strong as Ever
Compares payments made to skilled nursing facilities (SNFs) and costs over time to see if changes made by the Centers for Medicare and Medicaid Services (CMS) to the payment system have improved payment accuracy. Table 3 and Table 4 compare healthcare facility characteristics, including rural location.
Author(s): Carol Carter, Bowen Garrett, Doug Wissoker
Date: 01/2015
Sponsoring organizations: Medicare Payment Advisory Commission, Urban Institute
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Critical Access Hospitals' Receipt of Medicare and Medicaid Electronic Health Record Incentive Payments
Describes Critical Access Hospital (CAH) participation in Medicare and Medicaid electronic health record (EHR) incentive programs and compares participation rates between states and by facility characteristics.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 01/2015
Sponsoring organization: Flex Monitoring Team
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Authorities and Mechanisms for Purchased Care at the Department of Veterans Affairs
Presents an independent assessment of the Purchased Care component from the Veterans Access, Choice, and Accountability Act of 2014. Discusses the system used to fill in gaps in care for veterans that live in rural areas or far from a VA Medical Center (VAMC). Compares the VA's system to other payer models in the federal government.
Author(s): Michael D. Greenberg, Caroline Batka, Christine Buttorff, et al.
Date: 2015
Sponsoring organization: RAND Corporation
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Healthy Clinic Assessments (HCAs): Promising Practices: How Healthy Clinic Assessments Are Improving Business Operations and Internal Processes
Assesses the essential business operations of health clinics in rural, frontier, and urban areas in Colorado. Identifies which areas of improvement should be undertaken, and provides an action plan for change focusing on quality of care, clinic efficiency, and increased revenue.
Date: 2015
Sponsoring organization: Colorado Rural Health Center
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Critical Access Hospital Financial Pro Forma
Financial modeling resource used to assist rural hospitals in projecting long-term finances under the Fee-For-Service (FFS)/cost-based reimbursement systems.
Date: 2015
Sponsoring organization: Rural Health Value
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Meaningful Use Attestations Among U.S. Hospitals: The Growing Rural-Urban Divide
Provides an analysis of the Electronic Health Record Incentive Program adoption in metropolitan, micropolitan, and rural hospitals in the U.S. Compares rural and urban hospitals that were attesting to meaningful use and receiving federal incentive payments.
Author(s): Ryan H. Sandefer, David T. Marc, Paul Kleeberg
Citation: Perspectives in Health Information Management, 2015 (Spring), 1-10
Date: 2015
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Coverage Rates Stabilize for Children's Health Insurance
Estimates children's health insurance coverage rates in the United States from 2008-2013 by geography and type of coverage. Provides graphs and statistics on rates of insurance coverage among children by rural, suburban, and central city location by state for states with sufficient data.
Author(s): Michael J. Staley
Date: 2015
Sponsoring organization: Carsey School of Public Policy
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2013 Small Area Health Insurance Estimates (SAHIE): An Overview
Selected data and maps of health insurance coverage based on the 2013 Small Area Health Insurance Estimates. Maps show county-level data on uninsured adults, children, and uninsured by income level. Includes maps showing changes in uninsured rates from 2008 to 2013.
Date: 2015
Sponsoring organization: U.S. Census Bureau
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