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Rural Health
Resources by Topic: Hospice and palliative care

MedPAC Data Book: Health Care Spending and the Medicare Program, 2022
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 and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures.
Date: 07/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Staving Off One's Mortality: Rural Kidney Health and Its Disparities
Describes rural disparities around access to disease-stabilizing treatment for kidney disease and to renal replacement therapies. Features insights from providers serving rural patients, as well as a rural kidney transplant recipient sharing her experience.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Palliative Care — More Than Just Hospice, with Karla Weng and Pat Justis
An episode of the Exploring Rural Health podcast featuring Karla Weng, Senior Program Manager for Stratis Health, and Pat Justis, Director of the Washington State Office of Rural Health. Discusses rural palliative care and an initiative to expand access in rural communities in Washington State, North Dakota, and Wisconsin.
Date: 06/2022
Type: Audio
Sponsoring organization: Rural Health Information Hub
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COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
Provides an overview of waived Medicare regulations in response to COVID-19. Lists waivers that impact all types of providers, including Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Centers, physicians, skilled nursing facilities, and others. Identifies waivers that have been terminated or have termination dates announced. Covers information on changes to telemedicine and quality improvement programs.
Date: 06/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Post-Acute and Long-term Care Providers and Services Users in the United States, 2017–2018
Describes the supply, organizational characteristics, staffing, and services offered by post-acute and long-term care providers. Provides descriptions of service users, including residents of nursing homes and residential care communities, patients receiving home health or hospice care, and people who attend adult day services centers. Features statistics including distribution of post-acute and long-term care providers in 2017-2018, with breakdowns by metropolitan, micropolitan, or other areas.
Author(s): Manisha Sengupta, Jessica Penn Lendon, Christine Caffrey, Amanuel Melekin, Priyanka Singh
Date: 05/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Evaluation of the Medicare Care Choices Model: Annual Report 4
Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Reports on MCCM beneficiary outcomes through March 2021. Includes information on rural beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance
Date: 04/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Update to COVID-19 Emergency Declaration Blanket Waivers for Specific Providers
Outlines specific temporary emergency declaration blanket waivers issued in response to the COVID-19 pandemic that the Centers for Medicare & Medicaid Services (CMS) will end in May-June 2022 for skilled nursing facilities/nursing facilities (SNFs/NFs), inpatient hospices, intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs), and end-stage renal disease (ESRD) facilities. Discusses the impact of these waivers on nursing home residents' health and safety.
Date: 04/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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"Hard to Say Goodbye Over iPad": Experiences of Palliative Care Providers and Lessons Learned During the COVID-19 Pandemic in Rural Communities of Indiana, United States
Explores health care professionals' perspectives about the challenges and barriers to providing palliative care in rural Indiana during the COVID-19 pandemic. Presents findings from interviews with 15 providers on restricted visitation, communication barriers, provider distress, and hospice services and referrals.
Author(s): Nasreen Lalani, Yun Cai, Yitong Wang
Citation: Journal of Hospice and Palliative Nursing, 24(3), E94-E100
Date: 03/2022
Type: Document
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MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 11
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 2010 and between 2018-2020. Compares the actual hospice utilization rates in micropolitan, rural adjacent, rural nonadjacent, and frontier areas to urban hospice utilization rates.
Date: 03/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2022
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: 03/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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