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Rural Health
Resources by Topic: Home health

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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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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MedPAC Report to the Congress: Medicare Payment Policy, 2019
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses opioids, Medicare Part D, Medicare Advantage, Medicare's quality incentive program for hospitals, and payment adequacy for healthcare facilities and services.
Date: 03/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Long-term Care Providers and Services Users in the United States, 2015-2016
Describes the supply, organizational characteristics, staffing, and services offered by providers. Gives descriptions of services users, including residents of nursing homes and residential care communities, patients receiving home health or hospice care, and people who attend adult day care centers. Features statistics including distribution of long-term care providers in 2016, with breakdowns by metropolitan, micropolitan, or other area.
Additional links: State Estimates Supplement
Author(s): L. Harris-Kojetin, M. Sengupta, J.P. Lendon, et al.
Date: 02/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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