Rural Health
Resources by Topic: Inpatient care
Medicare Advantage Enrollees Account for a Rising Share of Inpatient Hospital Days
Describes the growth of Medicare Advantage (MA) as a share of hospital inpatient days between 2015 and 2022. Presents data from hospital cost reports submitted to the Centers for Medicare & Medicaid (CMS) regarding the share of inpatient days attributable to MA compared to traditional Medicare, the percentage of hospitals with more inpatient days from Medicare Advantage than traditional Medicare, and the variation across hospitals within counties. Compares trends in the share of inpatient days for MA enrollees across rural, micropolitan, and metropolitan hospitals.
Author(s): Jamie Godwin, Jeannie Fuglesten Biniek, Zachary Levinson, Tricia Neuman
Date: 07/2024
Type: Document
Sponsoring organization: KFF
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Describes the growth of Medicare Advantage (MA) as a share of hospital inpatient days between 2015 and 2022. Presents data from hospital cost reports submitted to the Centers for Medicare & Medicaid (CMS) regarding the share of inpatient days attributable to MA compared to traditional Medicare, the percentage of hospitals with more inpatient days from Medicare Advantage than traditional Medicare, and the variation across hospitals within counties. Compares trends in the share of inpatient days for MA enrollees across rural, micropolitan, and metropolitan hospitals.
Author(s): Jamie Godwin, Jeannie Fuglesten Biniek, Zachary Levinson, Tricia Neuman
Date: 07/2024
Type: Document
Sponsoring organization: KFF
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2024
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: 07/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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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: 07/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Using Social Risks to Predict Unplanned Hospital Readmission and Emergency Care Among Hospitalized Veterans
Examines the correlation of hospital readmission rates of veterans and social risk. Utilizes 2016-2022 Department of Veterans Affairs (VA) data to create a social risk index, focusing on domains such as psychosocial, financial, housing, food insecurity, violence, access to care, neighborhood deprivation, and more. Includes breakdowns of social risk according to sociodemographic variables, VA priority enrollment, hospital readmission, and rural, highly rural, or urban.
Author(s): Portia Y. Cornell, Cassandra L. Hua, Zachary M. Buchalksi, et al.
Citation: Health Services Research
Date: 07/2024
Type: Document
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Examines the correlation of hospital readmission rates of veterans and social risk. Utilizes 2016-2022 Department of Veterans Affairs (VA) data to create a social risk index, focusing on domains such as psychosocial, financial, housing, food insecurity, violence, access to care, neighborhood deprivation, and more. Includes breakdowns of social risk according to sociodemographic variables, VA priority enrollment, hospital readmission, and rural, highly rural, or urban.
Author(s): Portia Y. Cornell, Cassandra L. Hua, Zachary M. Buchalksi, et al.
Citation: Health Services Research
Date: 07/2024
Type: Document
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Healthcare Spending among Diverse Populations with Alzheimer's Disease and Related Dementias: A Claims-Based Analysis
Examines healthcare spending and utilization among commercially insured Alzheimer's disease and related dementia (ADRD) patients. Explores the impact of race and ethnicity, poverty, and urban/rural status on annual spending among ADRD patients by analyzing data from the FAIR Health National Private Insurance Claims between January 2016 and December 2023, along with demographic and socioeconomic data from the U.S. Census American Community Survey. Includes data on the probability of ADRD patients using different care venues and the average and expected amounts allowed within each venue based on sociodemographic characteristics.
Date: 06/2024
Type: Document
Sponsoring organization: FAIR Health
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Examines healthcare spending and utilization among commercially insured Alzheimer's disease and related dementia (ADRD) patients. Explores the impact of race and ethnicity, poverty, and urban/rural status on annual spending among ADRD patients by analyzing data from the FAIR Health National Private Insurance Claims between January 2016 and December 2023, along with demographic and socioeconomic data from the U.S. Census American Community Survey. Includes data on the probability of ADRD patients using different care venues and the average and expected amounts allowed within each venue based on sociodemographic characteristics.
Date: 06/2024
Type: Document
Sponsoring organization: FAIR Health
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Differences in Use of Veterans Health Administration and Non-VHA Hospitals by Rural and Urban Veterans After Access Expansions
Presents a study on rural and urban differences in acute inpatient care utilization in Veterans Health Administration (VHA) and non-VHA hospitals following expansions to the Veterans Choice Act. Breaks down data by patient characteristics, such as age, gender, and race, among others.
Author(s): Matthew P. Dizon, Kenneth W. Kizer, Michael K. Ong, et al.
Citation: Journal of Rural Health, 40(3), 446-456
Date: 06/2024
Type: Document
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Presents a study on rural and urban differences in acute inpatient care utilization in Veterans Health Administration (VHA) and non-VHA hospitals following expansions to the Veterans Choice Act. Breaks down data by patient characteristics, such as age, gender, and race, among others.
Author(s): Matthew P. Dizon, Kenneth W. Kizer, Michael K. Ong, et al.
Citation: Journal of Rural Health, 40(3), 446-456
Date: 06/2024
Type: Document
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Effects of Affordable Care Act on Uninsured Hospitalization: Evidence from Texas
Examines the impact of the Affordable Care Act (ACA) in Texas and its relationship to uninsured patient discharges. Analyzes 2011-2019 ACA Marketplace data with breakdowns according to patient race/ethnicity, age, gender, major diagnostic categories (MDC), type of admission, and rural versus urban location.
Author(s): Nima Khodakarami, Benjamin Ukert
Citation: Health Services Research
Date: 06/2024
Type: Document
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Examines the impact of the Affordable Care Act (ACA) in Texas and its relationship to uninsured patient discharges. Analyzes 2011-2019 ACA Marketplace data with breakdowns according to patient race/ethnicity, age, gender, major diagnostic categories (MDC), type of admission, and rural versus urban location.
Author(s): Nima Khodakarami, Benjamin Ukert
Citation: Health Services Research
Date: 06/2024
Type: Document
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Prevalence of Hospital Readmission in Illinois Counties, 2007-2022
Examines hospital readmission rates in Illinois that happened within a 30-day period from initial discharge. Analyzes 2007-2022 Centers for Medicare & Medicaid Services (CMS) data to observe county-level as well as metro versus nonmetro changes in readmission rates.
Author(s): Adee Athiyaman
Date: 05/2024
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines hospital readmission rates in Illinois that happened within a 30-day period from initial discharge. Analyzes 2007-2022 Centers for Medicare & Medicaid Services (CMS) data to observe county-level as well as metro versus nonmetro changes in readmission rates.
Author(s): Adee Athiyaman
Date: 05/2024
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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MedPAC Comment on CMS's Proposed Rule on the Payment System for Inpatient Psychiatric Facilities for FY 2025
Comment on an April 3, 2024, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2025. Includes a discussion of rural IPF PPS payment adjustments.
Date: 05/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on an April 3, 2024, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2025. Includes a discussion of rural IPF PPS payment adjustments.
Date: 05/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Care Fragmentation and Readmission Mortality and Length of Stay Before and During the COVID-19 Pandemic: Data from the National Readmissions Database, 2018–2020
Examines fragmented readmissions, in which a patient returns to a hospital that is different than their prior admission, and the impact on in-hospital mortality and longer lengths-of-stay (LOS). Analyzes readmission data during the COVID-19 pandemic against 2018-2019 data and includes breakdowns according to patient sex, age, income, insurance status, and health condition, as well as hospital type and large metropolitan area, small metropolitan area, micropolitan, or non-metropolitan/non-micropolitan location.
Author(s): Sara Turbow, Tiffany Walker, Steven Culler, Mohammed K. Ali
Citation: BMC Health Services Research, 24, 622
Date: 05/2024
Type: Document
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Examines fragmented readmissions, in which a patient returns to a hospital that is different than their prior admission, and the impact on in-hospital mortality and longer lengths-of-stay (LOS). Analyzes readmission data during the COVID-19 pandemic against 2018-2019 data and includes breakdowns according to patient sex, age, income, insurance status, and health condition, as well as hospital type and large metropolitan area, small metropolitan area, micropolitan, or non-metropolitan/non-micropolitan location.
Author(s): Sara Turbow, Tiffany Walker, Steven Culler, Mohammed K. Ali
Citation: BMC Health Services Research, 24, 622
Date: 05/2024
Type: Document
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April 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2024 meeting. Covers telehealth in Medicare, alternative approaches to lowering Medicare payments for select conditions in inpatient rehabilitation facilities, approaches for updating the Medicare physician fee schedule, initial findings from an analysis of Medicare Part B payment rates and 340B ceiling prices, and more. Includes discussion of telehealth in rural areas and data on telehealth use in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) between 2020 and 2022.
Additional links: Telehealth in Medicare: Status Report - Presentation Slides
Date: 04/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2024 meeting. Covers telehealth in Medicare, alternative approaches to lowering Medicare payments for select conditions in inpatient rehabilitation facilities, approaches for updating the Medicare physician fee schedule, initial findings from an analysis of Medicare Part B payment rates and 340B ceiling prices, and more. Includes discussion of telehealth in rural areas and data on telehealth use in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) between 2020 and 2022.
Additional links: Telehealth in Medicare: Status Report - Presentation Slides
Date: 04/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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