Rural Health
Resources by Topic: Hospitals
CMS Bundled Payments for Care Improvement Advanced Model: Year 1 Evaluation Annual Report
A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Urban-Rural Inequities in Acute Stroke Care and In-Hospital Mortality
Examines rural/urban differences and trends in treatment patterns and outcomes for individuals hospitalized for stroke, including mortality rates, length of hospital stay, and discharge rates. Provides data and statistics on patient characteristics, comorbidities, use of thrombolytics and endovascular therapy, and more.
Author(s): Gmerice Hammond, Alina Luke, Lauren Elson, Amytis Towfighi, Karen Joynt Maddox
Citation: Stroke, 51, 2131–2138
Date: 06/2020
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Examines rural/urban differences and trends in treatment patterns and outcomes for individuals hospitalized for stroke, including mortality rates, length of hospital stay, and discharge rates. Provides data and statistics on patient characteristics, comorbidities, use of thrombolytics and endovascular therapy, and more.
Author(s): Gmerice Hammond, Alina Luke, Lauren Elson, Amytis Towfighi, Karen Joynt Maddox
Citation: Stroke, 51, 2131–2138
Date: 06/2020
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Characteristics and Costs of Potentially Preventable Inpatient Stays, 2017
Presents national estimates of potentially preventable inpatient stays among children and adults in 36 states and the costs associated with those stays. Includes data on potentially preventable hospitalization rates by the urban-rural status of patients' residences.
Additional links: Data Visualization
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents national estimates of potentially preventable inpatient stays among children and adults in 36 states and the costs associated with those stays. Includes data on potentially preventable hospitalization rates by the urban-rural status of patients' residences.
Additional links: Data Visualization
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2020
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Sponsoring organization: Medicare Payment Advisory Commission
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COVID-19: Rural Hospital Compendium
Summarizes Missouri Hospital Association's (MHA) efforts to help rural hospitals address the COVID-19 pandemic. Includes information on advocacy and financial support, the rural healthcare workforce, telehealth, personal protective equipment, and more.
Date: 06/2020
Sponsoring organization: Missouri Hospital Association
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Summarizes Missouri Hospital Association's (MHA) efforts to help rural hospitals address the COVID-19 pandemic. Includes information on advocacy and financial support, the rural healthcare workforce, telehealth, personal protective equipment, and more.
Date: 06/2020
Sponsoring organization: Missouri Hospital Association
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Engaging Critical Access Hospitals in Addressing Rural Substance Use
Provides a framework for Critical Access Hospitals (CAHs) to identify and address substance use needs in their communities. Includes examples of rural CAH substance use prevention, treatment, and recovery strategies.
Author(s): John Gale, Sara Kahn-Troster, Zachariah Croll, Nathan First
Date: 06/2020
Sponsoring organization: Flex Monitoring Team
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Provides a framework for Critical Access Hospitals (CAHs) to identify and address substance use needs in their communities. Includes examples of rural CAH substance use prevention, treatment, and recovery strategies.
Author(s): John Gale, Sara Kahn-Troster, Zachariah Croll, Nathan First
Date: 06/2020
Sponsoring organization: Flex Monitoring Team
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Maternal and Obstetric Care Challenges in Rural America
Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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COVID-19 and Rural Hospital Struggles
Recording of a May 14, 2020, webinar on healthcare delivery and financial challenges facing rural hospitals as a result of the COVID-19 pandemic. Features leaders from health systems in Iowa, New Hampshire, Pennsylvania, and Wisconsin. Transcript available in the video description.
Date: 05/2020
Sponsoring organization: Bipartisan Policy Center
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Recording of a May 14, 2020, webinar on healthcare delivery and financial challenges facing rural hospitals as a result of the COVID-19 pandemic. Features leaders from health systems in Iowa, New Hampshire, Pennsylvania, and Wisconsin. Transcript available in the video description.
Date: 05/2020
Sponsoring organization: Bipartisan Policy Center
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Integrating Rural into the New Reality of Healthcare
Discusses service consolidations implemented by healthcare systems to control costs, and examines the resulting cuts to rural healthcare services, especially in Minnesota. Offers recommendations to help policymakers respond to the negative effects of healthcare acquisitions and mergers on healthcare access in rural communities. Includes rural/urban comparisons on profit margins for hospitals, patient demographics, miles traveled for inpatient and outpatient services, and more.
Additional links: Webinar Recording
Author(s): Kelly Asche, Marnie Werner
Date: 05/2020
Sponsoring organization: Center for Rural Policy and Development
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Discusses service consolidations implemented by healthcare systems to control costs, and examines the resulting cuts to rural healthcare services, especially in Minnesota. Offers recommendations to help policymakers respond to the negative effects of healthcare acquisitions and mergers on healthcare access in rural communities. Includes rural/urban comparisons on profit margins for hospitals, patient demographics, miles traveled for inpatient and outpatient services, and more.
Additional links: Webinar Recording
Author(s): Kelly Asche, Marnie Werner
Date: 05/2020
Sponsoring organization: Center for Rural Policy and Development
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Health Panel Comment Letter – Maternal and Infant Health Care in Rural Communities
Offers comments in response to the CMS Maternal and Infant Health Care in Rural Communities Request for Information. Describes Medicare cost reporting challenges for obstetric services at Critical Access Hospitals and possible changes to maternal health coverage under Medicaid.
Date: 05/2020
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the CMS Maternal and Infant Health Care in Rural Communities Request for Information. Describes Medicare cost reporting challenges for obstetric services at Critical Access Hospitals and possible changes to maternal health coverage under Medicaid.
Date: 05/2020
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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