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Rural Health
Resources by Topic: Home health

COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
Provides an overview of waived Medicare regulations in response to COVID-19. Lists waivers that impact all types of providers, including Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Centers, physicians, skilled nursing facilities, and others. Includes information on changes to telemedicine and quality improvement programs.
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS Open Door Forum Podcast and Transcripts
Provides audio recordings and transcripts of Centers for Medicare and Medicaid Services (CMS) Open Door Forum calls since October 2016, including the Rural Health Open Door Forums and COVID-19 stakeholder calls.
Date: 04/2021
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Post-Acute Care Trajectories for Rural Medicare Beneficiaries: Planned versus Actual Hospital Discharges to Skilled Nursing Facilities and Home Health Agencies
Examines care transitions among rural fee-for-service Medicare beneficiaries following discharge from an acute care hospital. Compares planned and actual discharges to home health agencies and skilled nursing facilities. Discusses implications of these findings on rural healthcare policy and practice.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, et al.
Date: 03/2021
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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MedPAC Report to the Congress: Medicare Payment Policy, 2021
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation. Contains information on the effects of the COVID-19 pandemic on Medicare beneficiary healthcare access, mortality, and service use. Presents an option for Medicare's coverage of telehealth beyond the public health emergency.
Date: 03/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Care Transformation Toolkit
Provides an overview of common approaches and best practices Medicare Accountable Care Organizations (ACOs) utilize to improve healthcare quality, lower healthcare costs, and enhance patient experiences. Describes ACO programs designed to use telehealth to expand access to care and improve efficiency, support high-risk beneficiaries through home visits, and provide timely access to skilled nursing care through Medicare waivers. Discusses lessons learned, options available to ACOs, and possible implementation challenges.
Date: 01/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Medicare and Home Health: Taking Stock in the COVID-19 Era
Provides an overview of the Medicare home health benefit including Medicare financing, demographics of beneficiaries, and the home health workforce. Describes the impact of COVID-19 on the utilization home health services and regulatory changes taken in response to the pandemic. Offers policy recommendations to increase the value of home health services during the COVID-19 pandemic.
Author(s): Courtney Harold Van Houtven, Walter D. Dawson
Date: 10/2020
Type: Document
Sponsoring organization: Commonwealth Fund
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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 Patient-Driven Groupings Model (PDGM) and the home health resource groups (HHRGs) based on clinical and functional status.
Date: 10/2020
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. Includes information on adjustments to fee schedule payment rates outside of competitive bidding areas (CBAs) during the COVID-19 public health emergency.
Date: 10/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Third Annual Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2018, the third performance year of the HHVBP Model and the first year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on healthcare utilization, Medicare expenditures, quality of care, and patient experience. Discusses rural access to high-quality home health agencies and social determinants of health in rural areas.
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 09/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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AHHQI Home Health Chartbook 2020
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: 09/2020
Type: Presentation Slides
Sponsoring organizations: Alliance for Home Health Quality and Innovation, Avalere, National Association for Home Care and Hospice
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