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Rural Health
Resources by Topic: Medicare

The Evolution of Private Plans in Medicare
Examines major policy changes affecting Medicare Advantage plans, and the impact of these policies on plan participation, enrollment, average premiums and cost-sharing, total costs to Medicare, and quality of care. Briefly discusses the challenges associate with providing risk-based plans in rural areas.
Author(s): Yash M. Patel, Stuart Guterman
Date: 12/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Rural-Urban Enrollment in Part D Prescription Drug Plans: June 2017 Update
Updates prior policy briefs and shows state-to-state variation in stand-alone prescription drug plans and Medicare Advantage with Prescription Drug plans. Features statistics with breakdowns by rural and urban enrollment in 2008 and 2017.
Author(s): Paula Weigel, Fred Ullrich, Keith Mueller
Date: 12/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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MedPAC Report to the Congress: Physician Supervision Requirements in Critical Access Hospitals and Small Rural Hospitals
Provides background information on Medicare physician supervision requirements, and examines how enforcement of these requirements impacts access to care, quality of care, and recruitment efforts in Critical Access Hospitals (CAHs) and small rural hospitals. Findings are based on interviews with CMS officials, hospital association representatives, and CAH administrators in several states.
Date: 12/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Telehealth Services Proposed for Medicare Part B Reimbursements, 2018: Fact Sheet
Identifies the five conditions that a telehealth service must meet in order to be covered by Medicare Part B, provides an overview of how telehealth services get added to Medicare's reimbursable list, and outlines proposed services that may be added for calendar year 2018.
Date: 11/2017
Type: Document
Sponsoring organization: Congressional Research Service
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Hospital Transfers and Subsequent Hospitalizations among Rural Medicare Beneficiaries
Poster presentation examines hospital transfer patterns among patients admitted to rural hospitals and tracks the patterns of post-transfer healthcare utilization among a subset of Medicare beneficiaries.
Author(s): Kevin Bennett, Janice C. Probst, Jarrod Bullard
Date: 11/2017
Type: Document
Sponsoring organization: South Carolina Rural Health Research Center
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Differences in Community Characteristics of Sole Community Hospitals
Findings brief presenting a snapshot of Sole Community Hospitals (SCHs) and their communities in 2015, and identifying trends in characteristics of selected SCHs and their communities from 2006 through 2015. Features statistics including breakdowns by large rural, small rural, and isolated rural location.
Author(s): Sharita R. Thomas, Mark Holmes, George H. Pink
Date: 11/2017
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Mountain-Pacific Quality Health Pilot: Closing the Gaps in Rural Complex Care
Profiles Mountain-Pacific Quality Health, a nonprofit corporation working to connect rural residents of Montana's Flathead Valley with high quality care. Mountain-Pacific is part of a pilot program aimed at improving the health of high-need, rural patients through the use of technology and interdisciplinary care teams. Mountain-Pacific also received a $1 million innovation award from the Center for Medicare and Medicaid Innovation to support their use of ReSource Teams and help care for high-cost, high-need Medicare patients in the region.
Date: 10/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Medicare Payment Basics: Outpatient Dialysis Services Payment System
Provides an overview of how Medicare pays for the outpatient dialysis services of beneficiaries with end-stage renal disease (ESRD). Includes information about the facility-level rural adjustment.
Date: 10/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Skilled Nursing Facility Services Payment System
Provides an overview of Medicare payments for skilled nursing facility services. Discusses rates for small, rural hospitals and Critical Access Hospitals.
Date: 10/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Long-term Care Hospitals Payment System
Provides an overview of Medicare payments for long-term care services. Discusses rate setting, payment updates, the 25 percent rule, and more.
Date: 10/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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