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Rural Health
Resources by Topic: Hospice and palliative care

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: 09/2021
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2021
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: 07/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Disparities in End-of-life Care for Patients with Heart Failure: Are They Due to Geography or Socioeconomic Disparity?
Examines the relationship of rurality, socioeconomic background, and end-of-life care for patients with heart failure in Maine. Includes data on healthcare utilization at end-of-life by age, sex, rurality, insurance type, and area deprivation index.
Author(s): Rebecca N. Hutchinson, Paul K. J. Han, F. Lee Lucas, et al.
Citation: Journal of Rural Health
Date: 05/2021
Type: Document
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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: 05/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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: 05/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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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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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