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Rural Health
Resources by Topic: Home health

Access to Rural Home Health Services: Views from the Field
Describes current issues affecting access to rural home health services, with an emphasis on Medicare-reimbursed programs. Based on published research, gray literature, and telephone interviews with 40 key informants from 19 states between May 2014 and March 2015. Discusses challenges and barriers to access as well as possible solutions.
Author(s): Susan M. Skillman, Davis G. Patterson, Cynthia Coulthard, Tracy M. Mroz
Date: 02/2016
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Leading Change: Best Practices in Technical Assistance for Rural and Frontier Health-Care in an Era of Transformation
Provides resources, tools, and proven practices to augment technical assistance and support the development and implementation of services provided by State Offices of Rural Health (SORH), nonprofit organizations, and government agencies when working with rural and frontier health service organizations (HSOs).
Date: 08/2015
Type: Document
Sponsoring organization: National Center for Frontier Communities
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Simulation and Analysis of an Alternative Medicare Home Health Payment System Not Based on Number of Therapy Visits
Outlines a possible approach to redesigning the Medicare home health payment system and describes the likely impacts of such a change. Includes statistics with breakdowns by number of therapy and non-therapy visits, payment-to-cost ratios, medical procedure or chronic illness, and type of health facility.
Author(s): Doug Wissoker, Bowen Garrett
Date: 08/2015
Type: Document
Sponsoring organization: Urban Institute
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Impact of Home Health Payment Rebasing on Beneficiary Access to and Quality of Care
Measures the impact of base-payment reductions mandated by the Affordable Care Act on beneficiary access to and the quality of care provided by home health agencies. Reports findings across geographic area (rural and urban).
Date: 12/2014
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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HCIA Complex/High-Risk Patient Targeting: First Annual Report
Evaluations of 23 Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Identifies several projects serving rural areas, including programs that use telehealth, in-home care, and various care coordination approaches.
Date: 11/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Intensity of Service Provision for Medicare Beneficiaries Utilizing Home Health Services: A Closer Look at Cerebrovascular Disease, Diabetes, and Joint Replacement
Reports on the impact of home health services provided to the rural elderly receiving Medicare based on the number of visits, the use of rehabilitation specialists, and the median payment per claim. Includes a rural/urban comparison throughout the report.
Additional links: Fact Sheet
Author(s): Medha Iyer, Janice C. Probst, Kevin Bennett, Grishma Bhavsar
Date: 11/2014
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Differences in Case-Mix Between Rural and Urban Recipients of Home Health Care
Provides a description of the health status and service needs of rural and urban Medicare home health patients based on a professional assessment of their condition at the start of care.
Additional links: Fact Sheet
Author(s): Janice C. Probst, Grishma P. Bhavsar
Date: 10/2014
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Telehealth Invigorating and Innovating Diabetes Care
Describes how home monitors and other technologies are helping diabetic patients live healthier lives, cutting healthcare costs and hospital visits.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 08/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
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Telehealth in Connecticut: Perspectives from Home Health Care Providers
Provides an overview of telehealth services in Connecticut and shares the results from a survey of licensed home healthcare providers serving patients in rural areas of the state. Offers recommendations for promoting telehealth services in the state.
Date: 07/2014
Type: Document
Sponsoring organization: Connecticut State Office of Rural Health
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Home Health Care Agency Availability in Rural Counties
Examines home healthcare across the U.S., including home health care agency availability and quality of services provided. Highlights differences for rural counties.
Additional links: Fact Sheet
Author(s): Janice C. Probst, Samuel Towne, Jordan Mitchell, Kevin J. Bennett, Robert Chen
Date: 06/2014
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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