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Rural Health
Resources by Topic: Home health

Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Second Annual Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, designed by the Center for Medicare & Medicaid Innovation (CMMI), implemented in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. The HHVBP Model was created to establish the impact of providing financial incentives to home health agencies (HHAs) for improvements in quality of care. The analysis, based on data from the implementation stages (2013-2015) and performance years (2016-2017), reports on the effects of financial incentives on quality of care, Medicare expenditures, patient outcomes, and identifies regional differences in beneficiary demographics, and rural and urban status.
Author(s): Alyssa Pozniak, Marc Turenne, Purna Mukhopadhyay, et al.
Date: 12/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Payment Basics: Home Health Care Services Payment System
Overview of Medicare payments for home health care services. Includes information on rate setting and payments based on quality reporting and performance. Describes the home health resource groups (HHRGs) based on clinical and functional status, and service use as measured by the Outcome and Assessment Information Set (OASIS) used to determine payment rates.
Date: 10/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Durable Medical Equipment Payment System
Overview of Medicare payments for medical equipment used to treat beneficiaries at home. Defines durable medical equipment (DME), details the DME fee schedule, and discusses the competitive bidding program (CBP) for DME.
Date: 10/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Home Health Chartbook, 2019
Provides an overview of home health including patient demographics and clinical profiles, organizational trends, the economic contribution of home health agencies, and patient outcomes. Includes charts and graphs throughout, as well as state-by-state data. Slide 8 highlights the rural-urban distribution of home health users.
Date: 09/2019
Type: Presentation Slides
Sponsoring organizations: Alliance for Home Health Quality and Innovation, Avalere Health
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Toolkit: State Strategies to Support Older Adults Aging in Place in Rural Areas
Describes state initiatives helping older rural adults age in place by supporting services allowing them to remain in their homes. Strategies are focused around building the workforce, increasing access to services in rural areas, and addressing social determinants of health. Includes examples of programs that have already been implemented as well as emerging ideas from several states across the country.
Author(s): Neva Kaye, Kristina Long
Date: 09/2019
Type: Document
Sponsoring organizations: Health Resources and Services Administration, National Academy for State Health Policy, National Organizations of State and Local Officials
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MedPAC Comment on CMS's Proposed Rule on the CY 2020 Home Health PPS Update and Home Infusion Therapy
Comments on a July 18, 2019 Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments addressing the proposed rural add-on payments for calendar years 2019 through 2022.
Date: 08/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2019
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural to urban throughout. Chart 6-1 addresses rural hospital closures.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Patterns of Care and Home Health Utilization for Community-Admitted Medicare Patients
Focuses on differences between community-admitted and post-acute care Medicare home health patients over time in order to identify reasons for the increase in community-admitted patients. Addresses differences in rural/urban residency in Tables B.1. and E.1., as well as whether the county of residence is a primary care shortage area.
Date: 04/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Differences in Care Processes Between Community-Entry Versus Post-Acute Home Health for Rural Medicare Beneficiaries
Examines community-entry and post-acute care processes for rural, fee-for-service Medicare beneficiaries receiving home health services. Compares data for community-entry and post-acute home health services on the timely initiation of care, number of episodes and days of care. Offers statistics for community-entry and post-acute home health services describing service provisions by type and episode.
Author(s): Tracy M. Mroz, C. Holly A. Andrilla, Lisa A. Garberson, et al.
Date: 03/2019
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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MedPAC Report to the Congress: Medicare Payment Policy: Home Health Care Services: Chapter 9
Discusses payment adequacy for home health care services and information on supplemental payments for home health services provided in low-use rural areas. Features statistics on Medicare margins for home health agencies in 2016 and 2017 with breakdowns by urban and rural areas, and share of episodes provided to rural beneficiaries in 2016.
Date: 03/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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