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Rural Health
Resources by Topic: Hospice and palliative care

Medicare Payment Basics: Hospice Services Payment System
Provides an overview of Medicare payments to hospice and palliative care providers for beneficiaries who have a life expectancy of six months or less.
Date: 10/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural-Urban Variations in Medicare Live Discharge Patterns from Hospice, 2012-2013
Details a study on the instances of live discharges from the Medicare hospice program from 2012-2013. Compares rural and urban discharge rates, as well as for-profit and nonprofit business models.
Author(s): Rachel Dolin, Denise Kirk, Mark Holmes
Date: 09/2017
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Telemedicine & Telehealth Update
Slides from a presentation outlining the benefits associated with delivering rural and remote healthcare services in Kansas via telehealth. Primary focus is on telehospice services and enhancing care through Project ECHO.
Author(s): Eve-Lynn Nelson
Date: 08/2017
Type: Presentation Slides
Sponsoring organization: Heartland Telehealth Resource Center
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The Financial Importance of Medicare Post-Acute and Hospice Care to Rural Hospitals
Findings brief describing variation in the number of hospitals in rural areas providing Medicare post-acute care (PAC) and hospice care, average amount of revenue generated for these services, and financial importance to rural hospitals. Includes statistics on 2015 Medicare PAC and hospice care revenue as percentage of patient revenue in 1,205 Critical Access Hospitals and 964 Prospective Payment System hospitals.
Author(s): Alex Schulte, H. Ann Howard, George H. Pink
Date: 07/2017
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 12
Discusses payment adequacy for hospice and palliative support services. Includes statistics with breakdowns by urban and rural locations and demographics on Medicare decedents who used hospice during 2000 and 2012-2015.
Date: 03/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2017
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussions on Medicare payment policies that directly affect rural providers and beneficiaries.
Date: 03/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Third Annual Report: HCIA Disease-Specific Evaluation
Findings from the third year for 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Provides information on program effectiveness based on Medicare and Medicaid claims data and awardee-collected data. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, cardiovascular disease, and chronic pain. Approaches discussed include care coordination, education, and telehealth.
Additional links: Addendum, June 2017
Date: 02/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Stratis Health Rural Palliative Care Impact Report
Report examines palliative care models that have proven to be effective in rural areas of Minnesota and establishes measures to understand ways in which palliative care offers value to patients and promotes community development.
Date: 07/2016
Type: Document
Sponsoring organization: Stratis Health
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Second Annual Report: HCIA Disease-Specific Evaluation
Second annual evaluations of 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Discusses experiences common across grantees and profiles each project. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, cardiovascular disease, and chronic pain. Approaches discussed include care coordination, education, and telehealth.
Date: 03/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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MedPAC Report to the Congress: Medicare Payment Policy, 2016
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2016
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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