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Rural Health
Resources by Topic: Home health

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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There's No Place Like Home: Rural Home Health and Hospice Care in Washington State, a Discussion of Challenges and Solutions
Provides an overview of home health and hospice services in rural Washington state. Identifies rural areas and offers information on aging rural populations within the state. Discusses challenges and potential solutions to meeting the needs of rural aging populations in Washington.
Author(s): Patricia Justis
Date: 01/2019
Type: Document
Sponsoring organization: Washington State Office of Rural Health and Primary Care Office
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Indiana's Long Term Care & Aging Workforce
Identifies the Indiana licensed health professionals who practice in geriatrics or long term care, home health, or related settings, and describes their professional characteristics. Features statistics including numbers of professionals in the Indiana long term care and aging workforce, with breakdowns by rural and urban location.
Author(s): Hannah Maxey, Sierra Vaughn, Courtney Randolph
Date: 2019
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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MedPAC Comment on CMS's Proposed Rule on the CY 2019 Home Health PPS Update and 2020 Case Mix Refinements
Comment on a July 12, 2018, Federal Register proposed rule revising payments for home health services. Includes a section addressing a proposed rural add-on payment policy.
Date: 08/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Different Populations Served by the Medicare Home Health Benefit: Comparison of Post-Acute Versus Community-Entry Home Health in Rural Areas
Analyzes differences between community-entry and post-acute home health services among rural Medicare beneficiaries. Compares statistics on beneficiary characteristics and communities, such as rurality, region, economic indicators, and county-level health resources.
Author(s): Tracy M. Mroz, C. Holly A. Andrilla, Lisa A. Garberson, et al.
Date: 07/2018
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Using Telehealth to Improve Home-Based Care for Older Adults and Family Caregivers
Describes consumer perspectives and policy concerns with telehealth. Includes examples of home telehealth strategies, potential benefits and challenges, and discussion of home telehealth coverage in federal and state programs, including the Veterans Health Administration, Medicaid, and Medicare.
Author(s): Winifred V. Quinn, Ellen O'Brien, Gregg Springan
Date: 05/2018
Type: Document
Sponsoring organization: AARP Public Policy Institute
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