Rural Health
Resources by Topic: Healthcare business and finance
ADSC Compendium: Part of the 2024 Annual Disability Statistics Collection
Presents statistics on Americans with disabilities across key social and economic indicators derived from American Community Survey (ACS) data, including employment, educational attainment, health and healthcare, and more. Section 10 presents data on people with disabilities in rural areas, and compares the prevalence of disability, demographic characteristics, employment status, income, and insurance coverage status across metropolitan, micropolitan, and noncore areas.
Additional links: Annual Report on People with Disabilities in America 2024
Date: 03/2024
Type: Document
Sponsoring organization: Center for Research on Disability
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Presents statistics on Americans with disabilities across key social and economic indicators derived from American Community Survey (ACS) data, including employment, educational attainment, health and healthcare, and more. Section 10 presents data on people with disabilities in rural areas, and compares the prevalence of disability, demographic characteristics, employment status, income, and insurance coverage status across metropolitan, micropolitan, and noncore areas.
Additional links: Annual Report on People with Disabilities in America 2024
Date: 03/2024
Type: Document
Sponsoring organization: Center for Research on Disability
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Environmental Scan on Developing and Implementing Performance Measures for Population-Based Total Cost of Care (PB-TCOC) Models
Presents results of an environmental scan regarding the development and implementation of population-based total cost of care (PB-TCOC) payment models. Describes types of performance measures used in value-based payment models and pay-for-reporting programs, data sources used for constructing performance measures, features of PB-TCOC models, challenges in developing and implementing performance measures and opportunities for Alternative Payment Models (APMs) and PB-TCOC models to address these challenges, trends in existing performance measures across several Center for Medicare and Medicaid Innovation (CMMI) models and Medicare value-based care programs, and more. Includes rural references and considerations throughout.
Date: 03/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Presents results of an environmental scan regarding the development and implementation of population-based total cost of care (PB-TCOC) payment models. Describes types of performance measures used in value-based payment models and pay-for-reporting programs, data sources used for constructing performance measures, features of PB-TCOC models, challenges in developing and implementing performance measures and opportunities for Alternative Payment Models (APMs) and PB-TCOC models to address these challenges, trends in existing performance measures across several Center for Medicare and Medicaid Innovation (CMMI) models and Medicare value-based care programs, and more. Includes rural references and considerations throughout.
Date: 03/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2022
Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at the services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale
Date: 03/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at the services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale
Date: 03/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Identifying Rural Health Clinics Within the Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files
Provides an overview and history of the Rural Health Clinic (RHC) Program and the services provided to Medicaid recipients. Examines the methodology for locating RHC encounters within Medicaid claims files utilizing the Transformed Statistical Information System (T-MSIS) Analytic Files.
Author(s): Katherine Ahrens, Zachariah Croll, Yvonne Jonk, John Gale, Heidi O'Connor
Date: 03/2024
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Provides an overview and history of the Rural Health Clinic (RHC) Program and the services provided to Medicaid recipients. Examines the methodology for locating RHC encounters within Medicaid claims files utilizing the Transformed Statistical Information System (T-MSIS) Analytic Files.
Author(s): Katherine Ahrens, Zachariah Croll, Yvonne Jonk, John Gale, Heidi O'Connor
Date: 03/2024
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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FH Healthcare Indicators and FH Medical Price Index 2024: An Annual View of Place of Service Trends and Medical Pricing
White paper exploring changes in healthcare utilization, demographic and geographic factors, diagnoses, costs, and procedures. Features statistics including usage of retail clinics and telehealth from 2017-2022; and urgent care, ambulatory surgery centers, and emergency rooms from 2013-2022. Includes comparisons of utilization of each service type by urban and rural location.
Date: 03/2024
Type: Document
Sponsoring organization: FAIR Health
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White paper exploring changes in healthcare utilization, demographic and geographic factors, diagnoses, costs, and procedures. Features statistics including usage of retail clinics and telehealth from 2017-2022; and urgent care, ambulatory surgery centers, and emergency rooms from 2013-2022. Includes comparisons of utilization of each service type by urban and rural location.
Date: 03/2024
Type: Document
Sponsoring organization: FAIR Health
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Office for the Advancement of Telehealth Grantee Directory, 2023-2024
Provides contact information and brief overviews for 71 initiatives across eight grant programs administered by the Office for the Advancement of Telehealth in the 2024 funding year.
Date: 03/2024
Type: Document
Sponsoring organization: Office for the Advancement of Telehealth
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Provides contact information and brief overviews for 71 initiatives across eight grant programs administered by the Office for the Advancement of Telehealth in the 2024 funding year.
Date: 03/2024
Type: Document
Sponsoring organization: Office for the Advancement of Telehealth
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The State of Georgia's Healthcare System
Fact sheet on income-based gaps in healthcare coverage in Georgia. Provides county-level maps and data on areas with the most significant coverage gaps, economic impacts of uninsured population, rural hospital and provider shortages, and more.
Date: 03/2024
Type: Document
Sponsoring organization: Georgia Budget & Policy Institute (GBPI)
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Fact sheet on income-based gaps in healthcare coverage in Georgia. Provides county-level maps and data on areas with the most significant coverage gaps, economic impacts of uninsured population, rural hospital and provider shortages, and more.
Date: 03/2024
Type: Document
Sponsoring organization: Georgia Budget & Policy Institute (GBPI)
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March 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2024 meeting. Covers proposed approaches and research topics related to evaluating rural hospital and clinician payment policies, an assessment of the completeness of Medicare Advantage (MA) encounter data and other sources of information about MA enrollees' healthcare utilization, a preliminary analysis of MA quality, the Acute Hospital Care at Home program, and Medicare inpatient psychiatric service trends and issues.
Additional links: Rural Hospital and Clinician Payment Policy: A Workplan for 2024–2025 - Presentation Slides
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2024 meeting. Covers proposed approaches and research topics related to evaluating rural hospital and clinician payment policies, an assessment of the completeness of Medicare Advantage (MA) encounter data and other sources of information about MA enrollees' healthcare utilization, a preliminary analysis of MA quality, the Acute Hospital Care at Home program, and Medicare inpatient psychiatric service trends and issues.
Additional links: Rural Hospital and Clinician Payment Policy: A Workplan for 2024–2025 - Presentation Slides
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, March 2024
Reports on three aspects of Medicaid of interest to Congress: 1) improving the Medicaid beneficiary experience through Medical Care Advisory Committees (MCACs) and federal government actions to aid states, 2) increasing the transparency and improving the monitoring of the denials and appeals process in Medicaid managed care, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2024
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid of interest to Congress: 1) improving the Medicaid beneficiary experience through Medical Care Advisory Committees (MCACs) and federal government actions to aid states, 2) increasing the transparency and improving the monitoring of the denials and appeals process in Medicaid managed care, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2024
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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MedPAC Report to the Congress: Medicare Payment Policy: Mandated Report: Rural Emergency Hospitals: Chapter 15
Provides an overview of the Rural Emergency Hospital (REH) designation. Discusses the evolution of Medicare's support for rural hospitals through payment policies and the impact of declining inpatient volumes on rural hospitals' financial sustainability. Describes the characteristics of hospitals that converted to REH status in 2023, the first year of the designation.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of the Rural Emergency Hospital (REH) designation. Discusses the evolution of Medicare's support for rural hospitals through payment policies and the impact of declining inpatient volumes on rural hospitals' financial sustainability. Describes the characteristics of hospitals that converted to REH status in 2023, the first year of the designation.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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