Rural Health
Resources by Topic: Long-term care
COVID-19 Funding Sources Impacting Rural Providers
Reference guide to help rural healthcare providers navigate federal COVID-19 response and recovery funding. Includes tables identifying eligibility by provider type and how funds can be spent. Provides an overview of each funding opportunity and reporting requirements.
Date: 09/2021
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Reference guide to help rural healthcare providers navigate federal COVID-19 response and recovery funding. Includes tables identifying eligibility by provider type and how funds can be spent. Provides an overview of each funding opportunity and reporting requirements.
Date: 09/2021
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
People with Disabilities Still at Risk in Congregate Care Settings
Describes factors that increase the rates of COVID-19 infection, hospitalization, and death in congregate care settings, specifically among people with disabilities. Compares the number of COVID-19 cases and deaths in nursing facilities by rural and urban status and by region between May 2-August 8, 2021. Discusses how vaccination and community-based programs can reduce the risk of COVID-19 among people with disabilities.
Date: 08/2021
Type: Document
Sponsoring organization: Research and Training Center on Disability in Rural Communities
view details
Describes factors that increase the rates of COVID-19 infection, hospitalization, and death in congregate care settings, specifically among people with disabilities. Compares the number of COVID-19 cases and deaths in nursing facilities by rural and urban status and by region between May 2-August 8, 2021. Discusses how vaccination and community-based programs can reduce the risk of COVID-19 among people with disabilities.
Date: 08/2021
Type: Document
Sponsoring organization: Research and Training Center on Disability in Rural Communities
view details
Rural/Urban Differences in Discharge from Rehabilitation in Older Adults with Traumatic Brain Injury
Compares rural and urban rates of discharge from skilled nursing facilities for 61,021 older adults with traumatic brain injury between 2011 and 2015 to determine quality of care. Discusses factors predicting successful discharge and reasons for not successfully discharging between rural and urban patients.
Author(s): Marie C. Anderson, Emily Evans, Mark R. Zonfrillo, Kali S. Thomas
Citation: Journal of the American Geriatrics Society, 69(6), 1601-1608
Date: 06/2021
Type: Document
view details
Compares rural and urban rates of discharge from skilled nursing facilities for 61,021 older adults with traumatic brain injury between 2011 and 2015 to determine quality of care. Discusses factors predicting successful discharge and reasons for not successfully discharging between rural and urban patients.
Author(s): Marie C. Anderson, Emily Evans, Mark R. Zonfrillo, Kali S. Thomas
Citation: Journal of the American Geriatrics Society, 69(6), 1601-1608
Date: 06/2021
Type: Document
view details
Nevada State Plan for Aging, 2021-2024
Outlines Nevada's plan for serving older adults and people with disabilities. Discusses rural services and challenges throughout, including access, transportation, and community engagement.
Date: 06/2021
Type: Document
Sponsoring organization: Nevada Department of Health and Human Services
view details
Outlines Nevada's plan for serving older adults and people with disabilities. Discusses rural services and challenges throughout, including access, transportation, and community engagement.
Date: 06/2021
Type: Document
Sponsoring organization: Nevada Department of Health and Human Services
view details
MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2022
Comments on a May 10, 2021, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals on rate-setting in both the hospital and LTCH prospective payment systems, the use of "market-based" data to set Medicare severity–diagnosis related group (MS–DRG) relative weights, and changes to rural reclassification cancellation requirements for hospitals.
Date: 06/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Comments on a May 10, 2021, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals on rate-setting in both the hospital and LTCH prospective payment systems, the use of "market-based" data to set Medicare severity–diagnosis related group (MS–DRG) relative weights, and changes to rural reclassification cancellation requirements for hospitals.
Date: 06/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2021
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Chapter 5 presents an interim report on Medicare beneficiaries' access to care in rural areas. Also includes chapters on Medicare Advantage benchmark policy, alternative payment models, private equity and Medicare, the skilled nursing facility value-based purchasing program, indirect medical education payments, Medicare coverage of vaccines, separately payable drugs in the hospital outpatient prospective payment system, clinical laboratory fee schedule payment rates, and the relationship between clinician services and other Medicare services.
Additional links: Executive Summary
Date: 06/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Chapter 5 presents an interim report on Medicare beneficiaries' access to care in rural areas. Also includes chapters on Medicare Advantage benchmark policy, alternative payment models, private equity and Medicare, the skilled nursing facility value-based purchasing program, indirect medical education payments, Medicare coverage of vaccines, separately payable drugs in the hospital outpatient prospective payment system, clinical laboratory fee schedule payment rates, and the relationship between clinician services and other Medicare services.
Additional links: Executive Summary
Date: 06/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Preferences for Long-Term Care Arrangements among Rural and Urban Older Adults
Describes long-term care preferences of 4,333 older people with functional limitations. Features statistics on characteristics of respondents, with breakdowns by urban or rural location.
Author(s): Carrie Henning-Smith, John Mulcahy, Megan Lahr, Jill Tanem
Date: 05/2021
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Describes long-term care preferences of 4,333 older people with functional limitations. Features statistics on characteristics of respondents, with breakdowns by urban or rural location.
Author(s): Carrie Henning-Smith, John Mulcahy, Megan Lahr, Jill Tanem
Date: 05/2021
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
April 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2021 meeting. Covers Medicare's skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, rebalancing the Medicare Advantage benchmark policy, revising Medicare's indirect medical education payments to better reflect teaching hospital costs, Medicare vaccine coverage and payment, and improving Medicare's policies for separately payable drugs in the hospital outpatient prospective payment system. Includes a discussion of training rural physicians, among other rural references.
Date: 04/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2021 meeting. Covers Medicare's skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, rebalancing the Medicare Advantage benchmark policy, revising Medicare's indirect medical education payments to better reflect teaching hospital costs, Medicare vaccine coverage and payment, and improving Medicare's policies for separately payable drugs in the hospital outpatient prospective payment system. Includes a discussion of training rural physicians, among other rural references.
Date: 04/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Examining the Potential for Additional Rebalancing of Long-Term Services and Supports
Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Type: Document
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
view details
Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Type: Document
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
view details
Community Transmission of SARS-CoV-2 Associated with a Local Bar Opening Event — Illinois, February 2021
Reports on a rural indoor bar opening event that resulted in COVID-19 cases among bar patrons and employees, as well as secondary cases in the community that impacted a long-term care facility and a school. Discusses the need for prevention measures as community businesses reopen.
Author(s): Samira Sami, Caitlin R. Turbyfill, Shelby Daniel-Wayman, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 528-532
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
view details
Reports on a rural indoor bar opening event that resulted in COVID-19 cases among bar patrons and employees, as well as secondary cases in the community that impacted a long-term care facility and a school. Discusses the need for prevention measures as community businesses reopen.
Author(s): Samira Sami, Caitlin R. Turbyfill, Shelby Daniel-Wayman, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 528-532
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
view details