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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Merit-Based Incentive Payment System (MIPS): Traditional MIPS Scoring Guide for the 2022 Performance Year
Provides details on how scores are calculated for the Merit-Based Incentive Payment System (MIPS), one of two payment options under the Medicare Quality Payment Program. Explains the four performance categories that affect Medicare Physician Fee Schedule payments: quality, cost, improvement activities, and promoting interoperability. Includes information for small and rural practices.
Date: 09/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Insurance Marketplaces: Issuer Participation Trends in Non-Metropolitan Places, 2014-22
Policy brief examining the changes in Health Insurance Marketplace (HIM) plan issuers from 2014-2022. Presents statistics on the average number of issuers per county in each year for metropolitan, micropolitan, and noncore counties and by region.
Author(s): Eliot Jost, Abigail Barker, Leah Kemper, et al.
Date: 08/2022
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Assisting American Indian and Alaska Native Consumers
Presentation slides discuss the ACA health insurance marketplace, the Indian Health Services, and provides information for American Indian and Alaska Native people pertaining to healthcare coverage. Presents guidance for AI/AN people to ensure they have consistent healthcare coverage.
Date: 08/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Update on Rural Independently Owned Pharmacy Closures in the United States, 2003-2021
Provides updated information on independently owned rural pharmacy closures from 2003 to 2021. Compares the annual retail pharmacy counts and percent change in the number of pharmacies by pharmacy type and metropolitan, micropolitan, and noncore county status. Builds on past publications from RUPRI regarding rural pharmacy closures.
Author(s): Edmer Lazaro, Fred Ullrich, Keith J. Mueller
Date: 08/2022
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Health Panel Comment Letter – Medicare Advantage Program
Offers comments in response to the Centers for Medicare & Medicaid Services (CMS) Request for Information on various aspects of the Medicare Advantage (MA) program. Presents a rural perspective on the MA program and discusses health equity in the MA program, expanding access to care, and value-based contracting. Includes data on the proportion of MA plans offering supplemental benefits in noncore, micropolitan, and metropolitan counties in 2020.
Date: 08/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Medicare Advantage in 2022: Enrollment Update and Key Trends
Explores trends related to the growth of the Medicare Advantage (MA) program. Provides statistics on MA enrollment, the types of plans in which beneficiaries are enrolled, and geographic variation. Includes an interactive map that displays MA penetration rates by state and county.
Date: 08/2022
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Medicare Beneficiary Access to Prescription Drugs in Rural Areas
Policy brief identifying the types of pharmacies used by Medicare beneficiaries in rural areas with limited or no access to pharmacies, using data from July 2016 to December 2017. Features statistics on county and beneficiary characteristics and claim event counts, with breakdowns by county pharmacy cohort.
Author(s): Onyinye Oyeka, Fred Ullrich, Keith J. Mueller
Date: 08/2022
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Integrated Care for Kids (InCK) Model Evaluation: Report 1
Presents findings from the 2020-2021 pre-implementation period of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, planned approach, and progress with implementing the model. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 08/2022
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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What Happens When a Hospital Closes?
Podcast episode discussing the impact of rural hospital closures and obstetrics units on their communities. Explores why facilities and units close and the impact of closures on mortality, prenatal care, maternal and infant health outcomes, and access to quality care.
Date: 08/2022
Type: Audio
Sponsoring organization: Freakonomics
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2023 Merit-Based Incentive Payment System (MIPS) Payment Year Payment Adjustment User Guide
Provides information on Merit-Based Incentive Payment System (MIPS) payment adjustments for calendar year 2023. Covers how COVID-19 relief efforts affect 2023 MIPS payment adjustments. Offers answers to frequently asked questions.
Date: 08/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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