Rural Health
Resources by Topic: Healthcare business and finance
Evaluation of the Vermont All-Payer Accountable Care Organization Model: 2018-2022 - Fourth Evaluation Report
Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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Health Subcommittee Hearing on Improving Value-Based Care for Patients and Providers
Recording of a June 26, 2024, House Committee on Ways and Means Subcommittee on Health hearing on the challenges and opportunities associated with delivering better health outcomes and Medicare savings through value-based care. Features testimony from Sarah Chouinard, Chief Medical Officer of Main Street Health, regarding value-based care delivery in rural areas.
Additional links: Sarah Chouinard, Main Street Health - Testimony
Date: 06/2024
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Recording of a June 26, 2024, House Committee on Ways and Means Subcommittee on Health hearing on the challenges and opportunities associated with delivering better health outcomes and Medicare savings through value-based care. Features testimony from Sarah Chouinard, Chief Medical Officer of Main Street Health, regarding value-based care delivery in rural areas.
Additional links: Sarah Chouinard, Main Street Health - Testimony
Date: 06/2024
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Rising Through the Ranks: Q&A with Rural Hospital President Soniya Fidler
An interview with UCHealth Yampa Valley Medical Center President Soniya Fidler, who reflects on the journey that took her from an entry-level hospital position to a leadership role and shares insights about the skills needed to transition from management to leadership.
Author(s): Hallie Vonk
Citation: Rural Monitor
Date: 06/2024
Sponsoring organization: Rural Health Information Hub
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An interview with UCHealth Yampa Valley Medical Center President Soniya Fidler, who reflects on the journey that took her from an entry-level hospital position to a leadership role and shares insights about the skills needed to transition from management to leadership.
Author(s): Hallie Vonk
Citation: Rural Monitor
Date: 06/2024
Sponsoring organization: Rural Health Information Hub
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2018-23 Profitability of Rural Hospitals by with and without Rural Health Clinics and Long-Term Care
Provides an overview of the profitability of rural hospitals by examining long-term care (LTC) services and costs of operating a Rural Health Clinic (RHC). Analyzes 2018-2023 data and presents graphs showing the total margins of rural hospitals, comparing those with and without LTC or an RHC.
Author(s): Sruthi Malavika Srinivasan, James Kim, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Provides an overview of the profitability of rural hospitals by examining long-term care (LTC) services and costs of operating a Rural Health Clinic (RHC). Analyzes 2018-2023 data and presents graphs showing the total margins of rural hospitals, comparing those with and without LTC or an RHC.
Author(s): Sruthi Malavika Srinivasan, James Kim, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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2018‐23 Profitability of Rural and Urban Hospitals by Medicare Payment Designation
Examines the profitability of rural and urban hospitals according to special Medicare payment designations, including: Critical Access Hospitals (CAHs), Prospective Payment System (PPS) hospitals, Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), Rural Referral Centers (RRCs), and Essential Access Community Hospitals (EAC). Utilizes 2018-2023 data to analyze hospital profitability by rural versus urban status and facility/payment type.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the profitability of rural and urban hospitals according to special Medicare payment designations, including: Critical Access Hospitals (CAHs), Prospective Payment System (PPS) hospitals, Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), Rural Referral Centers (RRCs), and Essential Access Community Hospitals (EAC). Utilizes 2018-2023 data to analyze hospital profitability by rural versus urban status and facility/payment type.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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2018-23 Profitability of Rural Hospitals by Ownership and System Affiliation
Examines the profitability of rural hospitals according to system affiliation and ownership type: government, not-for-profit, or for-profit. Utilizes 2018-2023 data to provide graphs showing total margin of rural hospitals by system affiliation and ownership.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the profitability of rural hospitals according to system affiliation and ownership type: government, not-for-profit, or for-profit. Utilizes 2018-2023 data to provide graphs showing total margin of rural hospitals by system affiliation and ownership.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Health Leaders Overcoming Challenges with Alan Morgan, Kathy Kuepers and Steve Tenhouse
Podcast episode featuring two Critical Access Hospital (CAH) executives discussing factors that influence a rural health organization's growth and vitality, replacement facility projects, and building trust and stakeholder engagement. Also highlights a national partnership addressing rural hospital cybersecurity involving the White House, Google, Microsoft, the American Hospital Association, and the National Rural Health Association.
Date: 06/2024
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode featuring two Critical Access Hospital (CAH) executives discussing factors that influence a rural health organization's growth and vitality, replacement facility projects, and building trust and stakeholder engagement. Also highlights a national partnership addressing rural hospital cybersecurity involving the White House, Google, Microsoft, the American Hospital Association, and the National Rural Health Association.
Date: 06/2024
Sponsoring organization: Impact! Communications, Inc.
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A Look at Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies During the Unwinding of Continuous Enrollment and Beyond
Provides a detailed overview of state policies related to Medicaid and the Children's Health Insurance Program (CHIP). Covers policies related to Medicaid and CHIP eligibility, enrollment, and renewal as of May 2024. Describes state actions to improve systems, processes, and communications during the unwinding of the COVID-19 pandemic-era Medicaid continuous enrollment requirements.
Author(s): Tricia Brooks, Jennifer Tolbert, Allexa Gardner, et al.
Date: 06/2024
Sponsoring organization: KFF
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Provides a detailed overview of state policies related to Medicaid and the Children's Health Insurance Program (CHIP). Covers policies related to Medicaid and CHIP eligibility, enrollment, and renewal as of May 2024. Describes state actions to improve systems, processes, and communications during the unwinding of the COVID-19 pandemic-era Medicaid continuous enrollment requirements.
Author(s): Tricia Brooks, Jennifer Tolbert, Allexa Gardner, et al.
Date: 06/2024
Sponsoring organization: KFF
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Is Rural Emergency Hospital the BEST Option for You?
Recording of a June 6, 2024, webinar regarding the Rural Emergency Hospital (REH) designation and conversion process. Features a discussion with three rural hospital leaders who consulted with the REH Technical Assistance Center when considering conversion. Transcript is available in the video description.
Date: 06/2024
Sponsoring organization: Rural Health Redesign Center
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Recording of a June 6, 2024, webinar regarding the Rural Emergency Hospital (REH) designation and conversion process. Features a discussion with three rural hospital leaders who consulted with the REH Technical Assistance Center when considering conversion. Transcript is available in the video description.
Date: 06/2024
Sponsoring organization: Rural Health Redesign Center
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New Mexico Medicaid: Physical Health and Behavioral Health Workforce
Reports on New Mexico healthcare workforce trends. Discusses healthcare workforce graduation data, Medicaid enrollment compared to provider access, and specialty care provider trends. Includes county-level data of workforce distribution by provider type. Offers recommendations to increase the healthcare workforce, recruitment and retention, and increasing access to healthcare.
Date: 06/2024
Sponsoring organization: New Mexico Legislative Finance Committee
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Reports on New Mexico healthcare workforce trends. Discusses healthcare workforce graduation data, Medicaid enrollment compared to provider access, and specialty care provider trends. Includes county-level data of workforce distribution by provider type. Offers recommendations to increase the healthcare workforce, recruitment and retention, and increasing access to healthcare.
Date: 06/2024
Sponsoring organization: New Mexico Legislative Finance Committee
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