Rural Health
Resources by Topic: Healthcare business and finance
Medicare Advantage: It's Here, Now What?
Slides from a presentation at the 2024 National Rural Health Association's Policy Institute conference that discuss Medicare Advantage, with data on eligibility and enrollment percentages depicted for select states as well as by metro versus nonmetro location.
Author(s): Keith J Mueller
Date: 02/2024
Type: Presentation Slides
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
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Slides from a presentation at the 2024 National Rural Health Association's Policy Institute conference that discuss Medicare Advantage, with data on eligibility and enrollment percentages depicted for select states as well as by metro versus nonmetro location.
Author(s): Keith J Mueller
Date: 02/2024
Type: Presentation Slides
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
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Policy and Research Update: Financial Models for Rural Hospitals
Slides presented at the 2024 American Hospital Association's Rural Health Care Leadership conference that discuss healthcare payment policies, value-based care, alternative payment models, Medicare Advantage, and more. Provides discussion on how rural hospitals are are adapting to financial models, statistics on insurance adoption, and related resources.
Author(s): Christina Campos, Kristen Dillon, Keith Mueller, George Pink
Date: 02/2024
Type: Presentation Slides
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
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Slides presented at the 2024 American Hospital Association's Rural Health Care Leadership conference that discuss healthcare payment policies, value-based care, alternative payment models, Medicare Advantage, and more. Provides discussion on how rural hospitals are are adapting to financial models, statistics on insurance adoption, and related resources.
Author(s): Christina Campos, Kristen Dillon, Keith Mueller, George Pink
Date: 02/2024
Type: Presentation Slides
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
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Medicare Ground Ambulance Data Collection System (GADCS): Rural and Super Rural Organizations Tip Sheet
Covers 6 Ground Ambulance Data Collection System (GADCS) tips and common reporting scenarios for ground ambulance organizations serving rural and super rural areas. Intended to help highlight geographic differences in costs, revenues, and services.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Covers 6 Ground Ambulance Data Collection System (GADCS) tips and common reporting scenarios for ground ambulance organizations serving rural and super rural areas. Intended to help highlight geographic differences in costs, revenues, and services.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Integrated Care for Kids (InCK) Model: Evaluation Report 2
Presents findings from the first year of the implementation 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, approach to assessing beneficiary needs, and alternative payment model design. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Presents findings from the first year of the implementation 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, approach to assessing beneficiary needs, and alternative payment model design. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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2024 Stability of the Rural Health Safety Net: State and National Data Tables
Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2024 National Rural Health Association Policy Institute.
Date: 02/2024
Type: Website
Sponsoring organization: Chartis Center for Rural Health
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Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2024 National Rural Health Association Policy Institute.
Date: 02/2024
Type: Website
Sponsoring organization: Chartis Center for Rural Health
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Lessons Learned from Efforts to Support Vulnerable Critical Access and Other Rural Hospitals
Provides an overview of state and federal programs, demonstrations, and models designed to support Critical Access Hospitals (CAHs) and other rural hospitals. Describes challenges facing CAHs and rural hospitals, including chronic workforce shortages, high operating and staffing costs, inadequate reimbursement, operational and regulatory issues, and the diverse demographics of rural communities. Discusses lessons learned, the new for a new rural hospital model, and next steps.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 02/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Provides an overview of state and federal programs, demonstrations, and models designed to support Critical Access Hospitals (CAHs) and other rural hospitals. Describes challenges facing CAHs and rural hospitals, including chronic workforce shortages, high operating and staffing costs, inadequate reimbursement, operational and regulatory issues, and the diverse demographics of rural communities. Discusses lessons learned, the new for a new rural hospital model, and next steps.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 02/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Access in Brief: Adults with Intellectual Disabilities and Developmental Disabilities
Issue brief examining access to Medicaid coverage for adults with intellectual or developmental disabilities (ID/DD), using data for fiscal years 2017-2018. Compares characteristics of adult Medicaid beneficiaries with ID/DD across racial and ethnic groups and by Medicaid-only or dually eligible status. Includes a section on home and community-based services and features demographics including breakdowns by rural or urban residence.
Date: 02/2024
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Issue brief examining access to Medicaid coverage for adults with intellectual or developmental disabilities (ID/DD), using data for fiscal years 2017-2018. Compares characteristics of adult Medicaid beneficiaries with ID/DD across racial and ethnic groups and by Medicaid-only or dually eligible status. Includes a section on home and community-based services and features demographics including breakdowns by rural or urban residence.
Date: 02/2024
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Unrelenting Pressure Pushes Rural Safety Net Crisis Into Uncharted Territory
Examines financial and operational metrics for rural hospitals. Discusses the growth of Medicare Advantage (MA) enrollment in rural communities between 2019 and 2023, the impact of MA on rural hospital reimbursement, how the Rural Emergency Hospital (REH) designation can provide a path forward for some rural facilities, and the discontinuation of obstetrics and chemotherapy services at rural hospitals since 2011. Includes the percentage of rural hospitals in each state vulnerable to closure and nine factors significantly associated with rural hospital vulnerability.
Date: 02/2024
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Examines financial and operational metrics for rural hospitals. Discusses the growth of Medicare Advantage (MA) enrollment in rural communities between 2019 and 2023, the impact of MA on rural hospital reimbursement, how the Rural Emergency Hospital (REH) designation can provide a path forward for some rural facilities, and the discontinuation of obstetrics and chemotherapy services at rural hospitals since 2011. Includes the percentage of rural hospitals in each state vulnerable to closure and nine factors significantly associated with rural hospital vulnerability.
Date: 02/2024
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Chartis Center for Rural Health Research & Resources for the 2024 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes Unrelenting Pressure Pushes Rural Safety Net Crisis into Uncharted Territory, Rural America's OB Deserts Widen in Fallout From Pandemic, and presentation slides on this report from the 2024 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2024
Type: Website
Sponsoring organization: Chartis Center for Rural Health
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Offers research and analysis of the stability of the rural healthcare safety net. Includes Unrelenting Pressure Pushes Rural Safety Net Crisis into Uncharted Territory, Rural America's OB Deserts Widen in Fallout From Pandemic, and presentation slides on this report from the 2024 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2024
Type: Website
Sponsoring organization: Chartis Center for Rural Health
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State Medicaid & CHIP Telehealth Toolkit
Toolkit to support state policymakers in expanding the use of telehealth to deliver Medicaid and Children's Health Insurance Program (CHIP) services. Provides information on telehealth flexibilities under Medicaid and CHIP; billing best practices; strategies for telehealth in value-based care; best practices from states during the COVID-19 public health emergency; strategies to promote the delivery of accessible and culturally competent care via telehealth; evaluation strategies to understand how telehealth affects quality, outcomes, and cost, and more. Offers state policy and operational considerations; information about common telehealth modalities; frequently asked questions for states to consider as they explore whether to expand the use of telehealth; Medicaid managed care and fee-for-service state checklists; and other planning tools. Includes information about using telehealth to deliver services to medically underserved and rural communities, American Indian and Alaska Native individuals, individuals with disabilities, older adults, and other specific populations.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Toolkit to support state policymakers in expanding the use of telehealth to deliver Medicaid and Children's Health Insurance Program (CHIP) services. Provides information on telehealth flexibilities under Medicaid and CHIP; billing best practices; strategies for telehealth in value-based care; best practices from states during the COVID-19 public health emergency; strategies to promote the delivery of accessible and culturally competent care via telehealth; evaluation strategies to understand how telehealth affects quality, outcomes, and cost, and more. Offers state policy and operational considerations; information about common telehealth modalities; frequently asked questions for states to consider as they explore whether to expand the use of telehealth; Medicaid managed care and fee-for-service state checklists; and other planning tools. Includes information about using telehealth to deliver services to medically underserved and rural communities, American Indian and Alaska Native individuals, individuals with disabilities, older adults, and other specific populations.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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