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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Alternative Payment Models in the Quality Payment Program as of December 2023
A set of three tables that list brief information about Alternative Payment Models (APMs) that the Centers for Medicare and Medicaid Services (CMS) operates or has announced, as of December 2023. Identifies Advanced APMs, Merit Based Incentive Program (MIPs) APMs, and Other Payer Advanced APMs, which include Medicaid Other Payer Advanced APMs, Medicare Health Plan Payment Arrangements, and commercial payment arrangements.
Date: 12/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Engaging Families and Providers When Aligning Early Childhood and Medicaid Systems: State Lessons
Describes how the alignment of health and social supports and services offered by Medicaid and early childhood agencies can create systems that better meet the needs of families with young children. Outlines four strategies states can use to engage families and providers when working on systems alignment effectively. Highlights an Alaska initiative that worked with a local community organization to recruit rural providers and families to identify opportunities for service improvement.
Author(s): Lauren Scannelli Jacobs, Armelle Casau
Date: 12/2023
Sponsoring organization: Center for Health Care Strategies
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2023 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability. Focuses on the impact of COVID-19 on healthcare and healthcare systems.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Disparities in LTSS Needs and Supportive Resources at Age 55, and Outcome Disparities During the Next Decade
Reports on disparities in long-term services and supports (LTSS) needs and resources of adults at age 55, and analyzes outcomes over the next 10 years of their lives, using 2008-2018 longitudinal Health and Retirement Study data. Includes data on demographics, including rural or urban setting. Highlights financial resources, health insurance, social supports, cognitive decline, assets, and more.
Date: 12/2023
Sponsoring organizations: ATI Advisory, Robert Wood Johnson Foundation
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The Impact of Health Disparities on the Subjective Well-Being in Rural Communities
Examines the effects of health, socioeconomic, and spatial indicators on well-being and happiness in rural areas/countryside and rural towns. Utilizes North Central Region (NCR)-Stat: Baseline Survey 2022 data to analyze well-being according to physical and mental health status, insurance status, income, work status, education level, and marital status.
Author(s): Zuzana Bednarik
Date: 12/2023
Sponsoring organization: North Central Regional Center for Rural Development
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Final Annual Report
Reports on the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort that ran from 2017-2021. Outlines key findings from the model, including CPC+ supports to practices, care delivery changes made by practices, impacts on outcomes for Medicare fee-for-service beneficiaries, and implications for primary care models. Describes the experiences of payers, practices, health IT vendors, and patients. Includes rural references throughout.
Additional links: Appendices to the Final Report, Volume 1, Appendices to the Final Report, Volume 2, Findings at a Glance
Date: 12/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Arizona Graduate Medical Education (GME): Growing Arizona's Primary Care Physician Workforce
Presentation slides highlighting training physicians in Arizona. Discusses population growth trends, health professional shortage areas, Medicaid enrollment data, and more. Discusses rural throughout.
Author(s): Dan Derksen
Date: 12/2023
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Improving Access to Health Care Coverage in Rural Communities with Medicaid and CHIP
A recorded webinar that provides strategies and best practices to improve outreach in an effort to enroll American Indian/Alaska Native communities (AI/AN) in Medicaid and the Children's Health Insurance Program (CHIP). Discusses the importance of healthcare access and offers resources and tools for enrollment outreach.
Additional links: Slides, Transcript
Date: 12/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, National Rural Health Association
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Disparities in Health Measures By Race and Ethnicity Among Beneficiaries in Medicare Advantage: A Review of the Literature
Summarizes the results of a review of 20 studies published between January 2018 and April 2023 to examine racial and ethnic disparities in quality of care and beneficiary experience among Medicare Advantage (MA) plan enrollees. Discusses gaps in data and in the literature that contribute to challenges in understanding racial and ethnic disparities in MA quality and beneficiary experience. Includes information on nine studies that explored 25 measures of quality of care received by American Indian and Alaska Native enrollees and two studies that examined disparities among MA enrollees in rural areas by race and ethnicity.
Author(s): Nancy Ochieng, Jeannie Fuglesten Biniek, Juliette Cubanski, Tricia Neuman
Date: 12/2023
Sponsoring organization: KFF
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Housing Shortages Are Making Recruitment and Retention Even More Challenging for Some Rural Healthcare Providers
Provides an overview of rural housing shortages and affordability concerns. Explains the impact of housing issues on the rural healthcare workforce. Features a housing development program involving a Critical Access Hospital in Colorado and an Oregon hotel conversion that combines units for healthcare workers and supportive housing.
Citation: Rural Monitor
Date: 12/2023
Sponsoring organization: Rural Health Information Hub
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