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Rural Health
Resources by Topic: Home health

Availability of Post-Acute Care and Long-Term Care Services in Rural Areas
September 14, 2021 webinar discussing the availability of post-acute care and long-term services in rural areas. Shares information on nursing home closures, nursing home deserts, and data describing nursing homes characteristics by metro and nonmetro location. Includes an analysis of hospitals with swing beds that provide coverage for post-acute care and long-term services in rural areas and home health services in rural areas without nursing homes.
Additional links: Presentation Slides, Transcript
Author(s): Hari Sharma
Date: 09/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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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: 09/2021
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2021
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 and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures.
Date: 07/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Community Health Centers Telehealth Promising Practices: Case Studies from the COVID-19 Pandemic
Offers a series of eight case studies on how community health centers developed or expanded telehealth programs in response to the COVID-19 pandemic. Discusses challenges faced, best practices, and lessons learned for each program.
Date: 06/2021
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Health Care-Related Expiring Provisions of the 117th Congress, First Session
Outlines the healthcare-related funding and governmental authorities that will expire during the first session of the 117th Congress, calendar year 2021, if not extended through congressional action. Highlights similar provisions that expired during the 116th Congress (2019-2020). Includes rural references throughout.
Date: 06/2021
Type: Document
Sponsoring organization: Congressional Research Service
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Fourth 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 2019, the fourth performance year of the HHVBP Model, and the second year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 05/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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: 05/2021
Type: Document
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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