Continuing on the Road to Value
Slides presented at the 2019 Illinois Critical Access Hospital Network (ICAHN) Annual Conference discussing management methods and policy initiatives for transitioning hospitals to value-based care.
Author(s): Keith Mueller
Date: 11/2019
Type: Presentation Slides
Sponsoring organization: Rural Policy Research Institute
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Rural Hospitals: Here Today, Gone Tomorrow
Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Type: Document
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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Delta Region Community Health Systems Development (DRCHSD) Program: 340B Drug Pricing Program Guide
Provides rural hospital administrators with information regarding the 340B Drug Pricing Program. Offers State Offices of Rural Health (SORHs) directors and Flex Program coordinators a better understanding of the process hospitals must abide by to participate in the 340B Program.
Author(s): BKD CPAs & Advisors
Date: 10/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Delta Region Community Health Systems Development (DRCHSD) Program: Best Practice Concepts in Revenue Cycle Management Guide
Offers rural hospital executives and management teams best practice concepts in revenue cycle management by assisting them in identifying performance improvement within their hospitals and departments. Provides State Offices of Rural Health (SORH) directors and Flex Program coordinators a better understanding of the revenue cycle best practices to help them design educational training programs to support rural hospital administrators with performance improvement.
Author(s): BKD CPAs & Advisors
Date: 10/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Telemedicine Spotlight: Blue Mountain Hospital, Blanding, UT
Highlights how Blue Mountain Hospital (BMH), a Critical Access Hospital (CAH) in Blanding, Utah, implemented a telemedicine program to provide services to patients needing a higher level of care in their community rather than being transferred to an urban center hospital several hours away.
Date: 10/2019
Type: Document
Sponsoring organization: Stroudwater Associates
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Qualifying Alternative Payment Model Participants (QPs) Methodology Fact Sheet: Medicare Option 2019 Performance Period
Explains the methods used by the Centers for Medicare & Medicaid Services (CMS) to determine if clinicians participating in the Medicare Advanced Alternative Payment Models (APMs), a track of the Quality Payment Program, are eligible as Qualifying Alternative Payment Model Participants (QPs), or partial QPs for the 2019 performance period. This includes eligible clinicians who receive payments for Medicare Part B services furnished at Method II Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), or Federally Qualified Health Centers (FQHCs).
Date: 10/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Quality Measures for Critical Access Hospital Swing-Bed Patients
Policy brief describing a study to identify quality measures for Critical Access Hospital (CAH) swing-bed patients, focused on outcome and functional status measures. Includes information from key informant interviews on discharge disposition and 30-day follow-up status.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 10/2019
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Estimate of Federal Payment Reductions to Hospitals Following the ACA: 2010-2029: Estimates and Methodology
Estimates the reduction in Medicare hospital payments due to sequestration from 2010 to 2019, not including reductions enacted under the Affordable Care Act (ACA). Demonstrates how other legislative acts and regulatory changes by the Centers for Medicare and Medicaid Services (CMS) reduced federal payments to hospitals over the same period. Highlights how reductions in Medicare payments for bad debt impacted Critical Access Hospitals (CAHs).
Date: 10/2019
Type: Document
Sponsoring organizations: American Hospital Association, Federation of American Hospitals
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Inpatient Hospital Stays and Emergency Department Visits Involving Influenza, 2006–2016
Examines inpatient stays and treat-and-release emergency department visits with an influenza diagnosis from the 2006–2007 flu season through the 2015–2016 flu season. Covers in-hospital mortality rates, average stay length, and cost. Includes data by patient location for metropolitan areas, rural adjacent to metro, and rural remote areas.
Author(s): Kathryn R. Fingar, Lan Liang, Carol Stocks
Date: 10/2019
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Medicare Payment Basics: Outpatient Hospital Services Payment System
Outlines Medicare's payments for outpatient hospital services. Features considerations for rural sole community hospitals.
Date: 10/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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