Rural Health
Resources by Topic: Hospitals
MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient Prospective Payment System and the Long-term Care Hospital Prospective Payment System for FY 2020
Comments on a May 3, 2019, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Addresses proposed changes to the hospital wage index, including rural floor calculations, uncompensated care measurements that affect disproportionate share (DSH) payments, inpatient and outpatient proposals related to drugs and devices, and the LTCH prospective payment system.
Date: 06/2019
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 3, 2019, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Addresses proposed changes to the hospital wage index, including rural floor calculations, uncompensated care measurements that affect disproportionate share (DSH) payments, inpatient and outpatient proposals related to drugs and devices, and the LTCH prospective payment system.
Date: 06/2019
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Skilled Nursing Facility PPS for FY 2020
Comments on an April 25, 2019, Federal Register proposed rule updating payments for Skilled Nursing Facilities (SNFs) and SNF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 25, 2019, Federal Register proposed rule updating payments for Skilled Nursing Facilities (SNFs) and SNF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2020
Comments on an April 24, 2019, Federal Register proposed rule updating payments for Inpatient Rehabilitation Facilities (IRFs) and IRF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 24, 2019, Federal Register proposed rule updating payments for Inpatient Rehabilitation Facilities (IRFs) and IRF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Sponsoring organization: Medicare Payment Advisory Commission
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Coteau des Prairies (CDP) Health System: Improving Quality of Care
Features a Critical Access Hospital (CAH) in Sisseton, South Dakota that worked with the Small Rural Hospital Transition (SRHT) project on care transitions and quality improvement. Highlights their successes improving finances, internal communication, patient satisfaction, physician documentation, and quality improvement infrastructure.
Date: 06/2019
Sponsoring organization: National Rural Health Resource Center
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Features a Critical Access Hospital (CAH) in Sisseton, South Dakota that worked with the Small Rural Hospital Transition (SRHT) project on care transitions and quality improvement. Highlights their successes improving finances, internal communication, patient satisfaction, physician documentation, and quality improvement infrastructure.
Date: 06/2019
Sponsoring organization: National Rural Health Resource Center
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Report to Congress on Medicaid and CHIP, June 2019
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Addresses the Medicaid Prescription Drug Program and Medicaid Drug Rebate Program, Medicaid Disproportionate Share Hospital (DSH) payments to safety-net hospitals, therapeutic foster care coverage, state efforts to improve Medicaid integrity, and challenges facing Medicaid in Puerto Rico.
Date: 06/2019
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Addresses the Medicaid Prescription Drug Program and Medicaid Drug Rebate Program, Medicaid Disproportionate Share Hospital (DSH) payments to safety-net hospitals, therapeutic foster care coverage, state efforts to improve Medicaid integrity, and challenges facing Medicaid in Puerto Rico.
Date: 06/2019
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Life 'til the End: Hospice in Rural America
Describes the role of hospice in rural communities. Features a rural Iowa family sharing how hospice helped them care for their father at the end of his life. Also highlights a Critical Access Hospital (CAH) in Wisconsin that provides hospice care, explaining how this service supports the hospital's mission to provide care to the community.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 06/2019
Sponsoring organization: Rural Health Information Hub
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Describes the role of hospice in rural communities. Features a rural Iowa family sharing how hospice helped them care for their father at the end of his life. Also highlights a Critical Access Hospital (CAH) in Wisconsin that provides hospice care, explaining how this service supports the hospital's mission to provide care to the community.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 06/2019
Sponsoring organization: Rural Health Information Hub
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Rural Success: High-Performing CAHs Take Action for Antibiotic Stewardship
Highlights antibiotic stewardship program best practices and strategies from Critical Access Hospitals (CAHs) based on a series of focus groups. Includes antibiotic stewardship results from a CAH facility survey.
Citation: MBQIP Monthly, 1-3
Date: 06/2019
Sponsoring organization: Stratis Health
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Highlights antibiotic stewardship program best practices and strategies from Critical Access Hospitals (CAHs) based on a series of focus groups. Includes antibiotic stewardship results from a CAH facility survey.
Citation: MBQIP Monthly, 1-3
Date: 06/2019
Sponsoring organization: Stratis Health
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Investing in America's Health Care
Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on a wide variety of healthcare bills addressing funding for community health centers, teaching health centers, the National Health Service Corps, a tribal diabetes program, the National Quality Forum, Medicaid disproportionate share hospital (DSH) payments, and more. Includes testimony from Shasta Community Health Center, Vidant Health, SPAN Parent Advocacy Network, Medicare Rights Center, and others.
Additional links: C. Dean Germano Testimony, Diana Autin Testimony, Fred Riccardi Testimony, Michael Waldrum Testimony, Thomas Barker Testimony
Date: 06/2019
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on a wide variety of healthcare bills addressing funding for community health centers, teaching health centers, the National Health Service Corps, a tribal diabetes program, the National Quality Forum, Medicaid disproportionate share hospital (DSH) payments, and more. Includes testimony from Shasta Community Health Center, Vidant Health, SPAN Parent Advocacy Network, Medicare Rights Center, and others.
Additional links: C. Dean Germano Testimony, Diana Autin Testimony, Fred Riccardi Testimony, Michael Waldrum Testimony, Thomas Barker Testimony
Date: 06/2019
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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North Dakota Hospital Assessment: 2017 Flex Chartbook
Presents the results of a 2017 survey of North Dakota Critical Access Hospitals (CAHs). Includes information on hospital characteristics, hospital foundations, relationships with tertiary hospitals, telehealth services, and issues facing CAHs ranked by severity. Covers hospital impacts from the Medicare Rural Hospital Flexibility (Flex) program.
Author(s): Robin Besse, Mandi-Leigh Peterson, Lynette Dickson
Date: 05/2019
Sponsoring organization: University of North Dakota Center for Rural Health
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Presents the results of a 2017 survey of North Dakota Critical Access Hospitals (CAHs). Includes information on hospital characteristics, hospital foundations, relationships with tertiary hospitals, telehealth services, and issues facing CAHs ranked by severity. Covers hospital impacts from the Medicare Rural Hospital Flexibility (Flex) program.
Author(s): Robin Besse, Mandi-Leigh Peterson, Lynette Dickson
Date: 05/2019
Sponsoring organization: University of North Dakota Center for Rural Health
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Medicaid Financing Cliff: Implications for the Health Care Systems in Puerto Rico and USVI
Issue brief providing an overview of the status of healthcare systems and Medicaid programs in Puerto Rico and the U.S. Virgin Islands (USVI) a year and a half after hurricanes hit the islands in September 2017. Focuses on challenges and includes an analysis of the implications for the islands' Medicaid finances, as most of the temporary disaster relief funding is set to expire in September 2019. Features statistics on the two territories' past and projected Medicaid spending.
Author(s): Robin Rudowitz, Cornelia Hall, Barbara Lyons
Date: 05/2019
Sponsoring organization: KFF
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Issue brief providing an overview of the status of healthcare systems and Medicaid programs in Puerto Rico and the U.S. Virgin Islands (USVI) a year and a half after hurricanes hit the islands in September 2017. Focuses on challenges and includes an analysis of the implications for the islands' Medicaid finances, as most of the temporary disaster relief funding is set to expire in September 2019. Features statistics on the two territories' past and projected Medicaid spending.
Author(s): Robin Rudowitz, Cornelia Hall, Barbara Lyons
Date: 05/2019
Sponsoring organization: KFF
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