Skip to main content

Rural Health
Resources by Topic: Home health

Left Behind Again: Rural Home Health Services in a Medicaid Pediatric Accountable Care Organization
Examines differences in pediatric home healthcare utilization among rural and urban children in a Medicaid pediatric Accountable Care Organization (ACO) in Ohio. Analyzes overall differences in healthcare use and annual trends in home health use by rurality and Medicaid eligibility group. Discusses how these findings could inform state policies and future research.
Author(s): Rose Y. Hardy, Gilbert C. Liu, Kimberly J. Conkol, Sean P. Gleeson, Kelly J. Kelleher
Citation: Journal of Rural Health
Date: 2021
Type: Document
view details
Home Care and Hospice During COVID: A Rural Perspective
Interview with leaders from CHI Health at Home, a home health and hospice care provider serving rural Minnesota and North Dakota. Describes how the COVID-19 pandemic impacted operations and patient care, including the increased role of technology, as well as the benefits of federal waivers.
Date: 2021
Type: Document
Sponsoring organization: Office of the Assistant Secretary for Preparedness and Response
view details
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
view details
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
view details
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
view details
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
view details
MedPAC Comment on CMS's Proposed Rule on the Home Health Prospective Payment System for CY 2021
Comments on a June 30, 2020, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments addressing the use of technology under the Medicare home health benefit and changes to geographic area delineations.
Date: 08/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
COVID-19 Frequently Asked Questions (FAQs) for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Provides information for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) regarding the expansion of virtual communication services in response to COVID-19. Describes the revision of the Home Health Agency Shortage Area requirement for visiting nursing services provided by RHCs and FQHCs.
Date: 04/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
MedPAC Report to the Congress: Medicare Payment Policy, 2020
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.
Date: 03/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
There's No Place Like Home: Home Health Care in Rural America
Recording of testimony by providers of rural home health care and representatives of home health and hospice organizations, in a hearing held by the United States Senate Special Committee on Aging, Feb. 12, 2020. Addresses challenges including workforce shortages and limitations in Medicare coverage for needed services.
Additional links: Testimony of Francis Adams, Testimony of Leigh Ann Howard, Testimony of Warren Hebert, Testimony of William A. Dombi
Date: 02/2020
Type: Audio
Sponsoring organization: U.S. Senate - Special Committee on Aging
view details