Rural Health
Resources by Topic: Long-term care
Nursing Home Staffing Study: Comprehensive Report
Examines the level and type of staffing needed to promote acceptable nursing home quality and safety. Explores the potential implications and feasibility of increased staffing and costs to nursing homes. Presents four options for minimum staffing requirements and their cost, quality, and safety impacts. Includes rural references and considerations throughout.
Additional links: Literature Review Results Table, State Minimum Staffing Requirement
Date: 06/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Examines the level and type of staffing needed to promote acceptable nursing home quality and safety. Explores the potential implications and feasibility of increased staffing and costs to nursing homes. Presents four options for minimum staffing requirements and their cost, quality, and safety impacts. Includes rural references and considerations throughout.
Additional links: Literature Review Results Table, State Minimum Staffing Requirement
Date: 06/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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How Community Investment Saved a Rural Health System
Profiles Mackinac Straits Health System, a Critical Access Hospital (CAH) serving Michigan's Upper Peninsula. Discusses how the health system used strategic planning and key partnerships to address key needs, recover financially, and move forward.
Date: 06/2023
Sponsoring organization: American Hospital Association
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Profiles Mackinac Straits Health System, a Critical Access Hospital (CAH) serving Michigan's Upper Peninsula. Discusses how the health system used strategic planning and key partnerships to address key needs, recover financially, and move forward.
Date: 06/2023
Sponsoring organization: American Hospital Association
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FY 2022 Mississippi State Health Plan
Offers criteria and standards for health-related activities in Mississippi which require Certificate of Need review. Features sections on workforce, long-term care, mental health, perinatal care, acute care, rehabilitation services, and other services. Mentions rural throughout.
Date: 04/2023
Sponsoring organization: Mississippi State Department of Health
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Offers criteria and standards for health-related activities in Mississippi which require Certificate of Need review. Features sections on workforce, long-term care, mental health, perinatal care, acute care, rehabilitation services, and other services. Mentions rural throughout.
Date: 04/2023
Sponsoring organization: Mississippi State Department of Health
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April 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2023 meeting. Covers high prices of drugs covered under Medicare Part B, draft recommendations for reforming Medicare's wage index systems, aligning fee-for-service payment rates across ambulatory settings, leveraging Medicare policies to address social determinants of health, assessing post-sale rebates for prescription drugs in Medicare Part D, and assessing the need for Medicare safety net payments for skilled nursing facilities and home health agencies. Features discussions on draft reports regarding a prototype design for a post-acute care prospective payment system, telehealth in Medicare, and behavioral health in Medicare. Includes rural references throughout.
Date: 04/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2023 meeting. Covers high prices of drugs covered under Medicare Part B, draft recommendations for reforming Medicare's wage index systems, aligning fee-for-service payment rates across ambulatory settings, leveraging Medicare policies to address social determinants of health, assessing post-sale rebates for prescription drugs in Medicare Part D, and assessing the need for Medicare safety net payments for skilled nursing facilities and home health agencies. Features discussions on draft reports regarding a prototype design for a post-acute care prospective payment system, telehealth in Medicare, and behavioral health in Medicare. Includes rural references throughout.
Date: 04/2023
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2023
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 healthcare facilities and services; Medicare Advantage (MA), including a mandated report comparing per enrollee spending in the MA program with that of traditional fee-for-service (FFS) Medicare; and Medicare Part D.
Date: 03/2023
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 healthcare facilities and services; Medicare Advantage (MA), including a mandated report comparing per enrollee spending in the MA program with that of traditional fee-for-service (FFS) Medicare; and Medicare Part D.
Date: 03/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, March 2023
Reports on four aspects of Medicaid: 1) collecting and reporting Medicaid race and ethnicity data, 2) increasing the transparency and improving the collection of nursing facility payment data, 3) strengthening evidence under Medicaid drug coverage, and 4) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 4 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the number of hospitals with high levels of uncompensated care that also provide essential community services. Table 4-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on four aspects of Medicaid: 1) collecting and reporting Medicaid race and ethnicity data, 2) increasing the transparency and improving the collection of nursing facility payment data, 3) strengthening evidence under Medicaid drug coverage, and 4) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 4 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the number of hospitals with high levels of uncompensated care that also provide essential community services. Table 4-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Trends in Supply of Nursing Home Beds, 2011-2019
Examines the change in the supply of nursing home beds between 2011 and 2019 while adjusting for the change in the number of older adults in the population. Presents data on the characteristics of counties where the supply of nursing home beds has changed, including rurality and census region. Describes the characteristics of the nursing home beds in counties where the supply has changed, including the percent change in 4- and 5-star beds, for-profit beds, and chain-affiliated beds.
Author(s): Katherine E.M. Miller, Paula Chatterjee, Rachel M. Werner
Citation: JAMA Network Open, 6(3), e230640
Date: 01/2023
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Examines the change in the supply of nursing home beds between 2011 and 2019 while adjusting for the change in the number of older adults in the population. Presents data on the characteristics of counties where the supply of nursing home beds has changed, including rurality and census region. Describes the characteristics of the nursing home beds in counties where the supply has changed, including the percent change in 4- and 5-star beds, for-profit beds, and chain-affiliated beds.
Author(s): Katherine E.M. Miller, Paula Chatterjee, Rachel M. Werner
Citation: JAMA Network Open, 6(3), e230640
Date: 01/2023
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COVID-19 Mortality Rates across Noncore, Micropolitan, and Metropolitan Counties by Community Characteristics, December 2020-January 2021
Explores differences in COVID-19 mortality rates across rural-urban designations and stratifications by geography, county-level sociodemographic factors, and county-level healthcare factors. Features statistics on mortality rates by rurality and U.S. census region, racial/ethnic composition, and ICU and nursing home bed density, as well as state-level maps showing mortality rates per 100,000 with breakdowns by metropolitan, micropolitan, and noncore areas.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Fred Ullrich, Keith J. Mueller
Date: 01/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Explores differences in COVID-19 mortality rates across rural-urban designations and stratifications by geography, county-level sociodemographic factors, and county-level healthcare factors. Features statistics on mortality rates by rurality and U.S. census region, racial/ethnic composition, and ICU and nursing home bed density, as well as state-level maps showing mortality rates per 100,000 with breakdowns by metropolitan, micropolitan, and noncore areas.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Fred Ullrich, Keith J. Mueller
Date: 01/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Strengthening the Direct Service Workforce in Rural Areas
Summarizes the challenges of the direct service workforce in rural areas including strategies that rural stakeholders can use to provide high-quality, long-term care services and supports. Discusses the challenges of recruiting and retaining direct-care workers in rural areas.
Date: 01/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes the challenges of the direct service workforce in rural areas including strategies that rural stakeholders can use to provide high-quality, long-term care services and supports. Discusses the challenges of recruiting and retaining direct-care workers in rural areas.
Date: 01/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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December 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services and supporting Medicare safety-net hospitals, ambulatory surgical center services, outpatient dialysis services, physician and other health professional services, hospice services, skilled nursing facilities, home health services, and inpatient rehabilitation facility services. Includes rural references throughout.
Date: 12/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services and supporting Medicare safety-net hospitals, ambulatory surgical center services, outpatient dialysis services, physician and other health professional services, hospice services, skilled nursing facilities, home health services, and inpatient rehabilitation facility services. Includes rural references throughout.
Date: 12/2022
Sponsoring organization: Medicare Payment Advisory Commission
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