Rural Health
Resources by Topic: Hospice and palliative care
Medicare Payment Basics: Hospice Services Payment System
Overview of the Medicare hospice benefit and Medicare payments to hospice providers. Describes the four levels of care of the hospice prospective payment system and payment rates.
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of the Medicare hospice benefit and Medicare payments to hospice providers. Describes the four levels of care of the hospice prospective payment system and payment rates.
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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NHPCO Facts and Figures: 2024 Edition
Provides an overview of hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, quality of care, and more. Includes data on geographic locations of hospice services and patients.
Date: 09/2024
Sponsoring organizations: National Alliance for Care at Home, National Hospice and Palliative Care Organization
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Provides an overview of hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, quality of care, and more. Includes data on geographic locations of hospice services and patients.
Date: 09/2024
Sponsoring organizations: National Alliance for Care at Home, National Hospice and Palliative Care Organization
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Palliative Care for Patients with Heart Failure and Family Caregivers in Rural Appalachia: A Randomized Controlled Trial
Evaluates FamPALcare, a telephone coaching intervention for family caregivers who provide palliative care to patients with heart failure (HF) in rural Appalachia. Provides data on patients' HF-related physical health and depression/anxiety, caregivers' caregiving burden and depression/anxiety, and intervention helpfulness at 3 and 6 months.
Author(s): Ubolrat Piamjariyakul, Angel Smothers, Kesheng Wang, et al.
Citation: BMC Palliative Care, 23, 199
Date: 08/2024
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Evaluates FamPALcare, a telephone coaching intervention for family caregivers who provide palliative care to patients with heart failure (HF) in rural Appalachia. Provides data on patients' HF-related physical health and depression/anxiety, caregivers' caregiving burden and depression/anxiety, and intervention helpfulness at 3 and 6 months.
Author(s): Ubolrat Piamjariyakul, Angel Smothers, Kesheng Wang, et al.
Citation: BMC Palliative Care, 23, 199
Date: 08/2024
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Palliative Care in Rural Communities
Presents the CARE (Complex, Access, Resourceful, Extraordinary) Framework to highlight the challenges and benefits of healthcare delivery in rural communities. Highlights multiple models for palliative care outside acute care settings with consideration for the CARE Framework.
Author(s): Tracy Fasolino, Kathleen Valentine, Megan E. Mayfield, William E. Rosa, Anne Koci
Citation: American Journal of Nursing, 128(4), 50-55
Date: 07/2024
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Presents the CARE (Complex, Access, Resourceful, Extraordinary) Framework to highlight the challenges and benefits of healthcare delivery in rural communities. Highlights multiple models for palliative care outside acute care settings with consideration for the CARE Framework.
Author(s): Tracy Fasolino, Kathleen Valentine, Megan E. Mayfield, William E. Rosa, Anne Koci
Citation: American Journal of Nursing, 128(4), 50-55
Date: 07/2024
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Standing Technical Expert Panel for the Development, Evaluation, and Maintenance of Post-Acute Care (PAC) and Hospice Quality Reporting Program (QRP) Measurement Sets: Summary Report
Describes a December 15, 2023, Technical Expert Panel (TEP) regarding the development of additional cross-setting measures for the Post-Acute Care (PAC) and Hospice Quality Reporting Programs (QRPs), and filling measurement gaps with the Centers for Medicare & Medicaid Services (CMS) Universal Foundation measures. Summarizes TEP comments on adding measures to PAC and Hospice QRPs in four domains: 1) behavioral and mental health, 2) patient experience of care, 3) pain management, and 4) immunization. Covers panelists' discussions on the appropriateness of the existing measure set and potential new measures, setting-specific considerations, data sources, and other topics related to each domain. Includes rural references throughout.
Date: 07/2024
Sponsoring organizations: Abt Associates, Acumen, Centers for Medicare and Medicaid Services
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Describes a December 15, 2023, Technical Expert Panel (TEP) regarding the development of additional cross-setting measures for the Post-Acute Care (PAC) and Hospice Quality Reporting Programs (QRPs), and filling measurement gaps with the Centers for Medicare & Medicaid Services (CMS) Universal Foundation measures. Summarizes TEP comments on adding measures to PAC and Hospice QRPs in four domains: 1) behavioral and mental health, 2) patient experience of care, 3) pain management, and 4) immunization. Covers panelists' discussions on the appropriateness of the existing measure set and potential new measures, setting-specific considerations, data sources, and other topics related to each domain. Includes rural references throughout.
Date: 07/2024
Sponsoring organizations: Abt Associates, Acumen, Centers for Medicare and Medicaid Services
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Caregiver Recruitment Strategies for Interventions Designed to Optimize Transitions from Hospital to Home: Lessons from a Randomized Trial
Compares in-person and virtual recruitment strategies for a video-based intervention for family caregivers (FCGs) to improve transitional palliative care for critically ill patients in rural Minnesota, Wisconsin, and Iowa. Includes data on effectiveness of each strategy and diversity of recruited FCGs.
Author(s): Allison M. Gustavson, Molly J. Horstman, et al.
Citation: Trials, 25, 454
Date: 07/2024
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Compares in-person and virtual recruitment strategies for a video-based intervention for family caregivers (FCGs) to improve transitional palliative care for critically ill patients in rural Minnesota, Wisconsin, and Iowa. Includes data on effectiveness of each strategy and diversity of recruited FCGs.
Author(s): Allison M. Gustavson, Molly J. Horstman, et al.
Citation: Trials, 25, 454
Date: 07/2024
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Directory of Mississippi Health Facilities
Directory of Mississippi health facilities with address, phone number, and accreditation status if applicable, current as of May 5, 2025. Includes a list of rural health facilities on pages 87-99.
Date: 04/2024
Sponsoring organization: Mississippi State Department of Health
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Directory of Mississippi health facilities with address, phone number, and accreditation status if applicable, current as of May 5, 2025. Includes a list of rural health facilities on pages 87-99.
Date: 04/2024
Sponsoring organization: Mississippi State Department of Health
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MedPAC Report to the Congress: Medicare Payment Policy, 2024
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 Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D. Includes two mandated reports on special needs plans for beneficiaries dually eligible for Medicare and Medicaid and the Rural Emergency Hospital (REH) designation.
Date: 03/2024
Sponsoring organization: Medicare Payment Advisory Commission
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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 Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D. Includes two mandated reports on special needs plans for beneficiaries dually eligible for Medicare and Medicaid and the Rural Emergency Hospital (REH) designation.
Date: 03/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Health Research Recap: Post-Acute Care in Rural Areas: The Role of Swing Beds and Nursing Homes
Offers statistics on availability of post-acute care in rural areas through skilled nursing facilities, home health agencies, hospice, inpatient rehabilitation facilities, and swing beds. Includes sections on prospective payment system and cost-based reimbursement, and provides statistics on the proportion of nursing home closures in metropolitan and nonmetropolitan areas from 2008-2018.
Author(s): Per Ostmo
Date: 03/2024
Sponsoring organization: Rural Health Research Gateway
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Offers statistics on availability of post-acute care in rural areas through skilled nursing facilities, home health agencies, hospice, inpatient rehabilitation facilities, and swing beds. Includes sections on prospective payment system and cost-based reimbursement, and provides statistics on the proportion of nursing home closures in metropolitan and nonmetropolitan areas from 2008-2018.
Author(s): Per Ostmo
Date: 03/2024
Sponsoring organization: Rural Health Research Gateway
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Rural–Urban Disparities and Trends in Utilization of Palliative Care Services among US Patients with Metastatic Breast Cancer
Reports on palliative care use among patients with metastatic breast cancer, utilizing 2004-2019 National Cancer Database data. Includes breakdowns by level of rurality, race, ethnicity, and other demographic and clinical characteristics. Discusses palliative care access and treatment disparities, and identifies trends.
Author(s): Jincong Q. Freeman, Adam W. Scott, Ted O. Akhiwu
Citation: Journal of Rural Health
Date: 02/2024
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Reports on palliative care use among patients with metastatic breast cancer, utilizing 2004-2019 National Cancer Database data. Includes breakdowns by level of rurality, race, ethnicity, and other demographic and clinical characteristics. Discusses palliative care access and treatment disparities, and identifies trends.
Author(s): Jincong Q. Freeman, Adam W. Scott, Ted O. Akhiwu
Citation: Journal of Rural Health
Date: 02/2024
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