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Rural Health
Resources by Topic: Hospice and palliative care

Rural Community-based Palliative Care ECHO Program Summary
Describes a nine-month intervention to support 11 community-based palliative care programs in rural Minnesota using the Extension for Community Healthcare Outcomes (ECHO) Model. Provides an overview of the participants, session topics, technology utilized, and results. Offers insights and lessons learned.
Date: 04/2021
Type: Document
Sponsoring organization: Stratis Health
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Rural Community-based Palliative Care: Improving Health and Reducing Disparities in Access and Services
Toolkit describing a framework for the development of rural community-based palliative care capacity and services. Includes information and links to resources regarding assessing community needs, foundational tools, process development, service implementation.
Date: 04/2021
Type: Document
Sponsoring organization: Stratis Health
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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. Includes information on changes to telemedicine and quality improvement programs.
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS Open Door Forum Podcast and Transcripts
Provides audio recordings and transcripts of Centers for Medicare and Medicaid Services (CMS) Open Door Forum calls since October 2016, including the Rural Health Open Door Forums and COVID-19 stakeholder calls.
Date: 04/2021
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Report to the Congress: Medicare Payment Policy, 2021
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. Contains information on the effects of the COVID-19 pandemic on Medicare beneficiary healthcare access, mortality, and service use. Presents an option for Medicare's coverage of telehealth beyond the public health emergency.
Date: 03/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Measure Applications Partnership 2020-2021 Considerations for Implementing Measures in Federal Programs: Clinician, Hospital & PAC/LTC
Reviews the 20 pre-rulemaking quality measures the National Quality Forum's Measure Applications Partnership (MAP) considered during the 2020-2021 cycle. Discusses measures for clinician programs, hospital and setting-specific programs, and post-acute care/long-term care programs. Highlights the MAP Rural Health Workgroup's support or determination of the suitability of each measure for rural providers.
Date: 03/2021
Type: Document
Sponsoring organization: National Quality Forum
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Sustainability Strategies for Community-based Palliative Care
Summarizes themes from two roundtable discussions conducted in late 2018 with 9 rural palliative care programs in Minnesota and surrounding states. Offers examples and resources for sustainability strategies to support community-based palliative care programs.
Date: 03/2021
Type: Document
Sponsoring organization: Stratis Health
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Rural Community-Based Palliative Care: Final Report
Evaluates the outcomes of the Stratis Health Rural Community-Based Palliative Care Project, a 3-year project that provided financial and technical assistance to State Offices of Rural Health (SORHs) in Washington, North Dakota, and Wisconsin that supported the implementation of palliative care programs in rural communities. Provides an overview of palliative care and barriers to palliative care in rural areas. Offers lessons learned that can be applied to existing palliative care efforts in rural communities.
Author(s): Alana Knudson, Jennifer Satorius, Kathleen Taylor
Date: 02/2021
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Rural Crosswalk: CMS Flexibilities to Fight COVID-19
Lists CMS waivers and flexibilities issued and implemented in response to the COVID-19 Public Health Emergency. Describes the impact of each provision for rural providers and facilities.
Date: 02/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Payment Basics: Hospice Services Payment System
Overview of the Medicare hospice and palliative care benefit for beneficiaries who have a life expectancy of six months or less, and Medicare payments to hospice and palliative care providers. Describes the four levels of care of the hospice prospective payment system and payment rates.
Date: 10/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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