Rural Health
Resources by Topic: Medicare
Quality Payment Program (QPP) 2022: Participation and Payment Results At-a-Glance
Provides an overview of the results of the Quality Payment Program (QPP) for the 2022 performance year. Highlights the percentage of small and rural providers receiving negative, neutral, and positive payment adjustments for 2024.
Date: 05/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the results of the Quality Payment Program (QPP) for the 2022 performance year. Highlights the percentage of small and rural providers receiving negative, neutral, and positive payment adjustments for 2024.
Date: 05/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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2022 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2022. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, mean and median final scores for 2022 and 2024 payment adjustments, and payment adjustment trends from 2019 through 2022.
Date: 05/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reports on the clinician experience for those participating in the Quality Payment Program in 2022. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, mean and median final scores for 2022 and 2024 payment adjustments, and payment adjustment trends from 2019 through 2022.
Date: 05/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Part D Enrollee Vaccine Use After Elimination of Cost Sharing for Recommended Vaccines in 2023
A report from the Inflation Reduction Act (IRA) Research Series that provides data on Medicare Part D enrollees who received vaccinations after the IRA legislated in 2023 that adult vaccinations recommended by the Advisory Committee on Immunization Practices (ACIP) would be provided at no cost. Includes data breakdowns of total and type of vaccinations received and Medicare Part D enrollee demographic characteristics, such as state and urban versus rural/unknown location.
Author(s): Bisma A. Sayed, Yevgeniy Feyman, Kristen L. King, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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A report from the Inflation Reduction Act (IRA) Research Series that provides data on Medicare Part D enrollees who received vaccinations after the IRA legislated in 2023 that adult vaccinations recommended by the Advisory Committee on Immunization Practices (ACIP) would be provided at no cost. Includes data breakdowns of total and type of vaccinations received and Medicare Part D enrollee demographic characteristics, such as state and urban versus rural/unknown location.
Author(s): Bisma A. Sayed, Yevgeniy Feyman, Kristen L. King, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Medicare Advantage Plan Growth in Rural America: Availability of Supplemental Benefits
Examines supplemental benefits of Medicare Advantage (MA) plans, categorized as traditional health benefit, expanded health benefit, and special benefit for the chronically ill. Utilizes 2022 Centers for Medicare & Medicaid Services (CMS) data to analyze availability of and benefits offered in MA plans according to metro, micro, and noncore location. Includes county-level maps of MA data organized by U.S. region.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 05/2024
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines supplemental benefits of Medicare Advantage (MA) plans, categorized as traditional health benefit, expanded health benefit, and special benefit for the chronically ill. Utilizes 2022 Centers for Medicare & Medicaid Services (CMS) data to analyze availability of and benefits offered in MA plans according to metro, micro, and noncore location. Includes county-level maps of MA data organized by U.S. region.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 05/2024
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The State of Medicare Supplement Coverage: Trends in Enrollment and Demographics
Provides an overview of Medicare Supplement, or Medigap, coverage and coverage options. Examines the demographics of Medicare enrollees with Medicare Supplement policies and enrollment trends. Includes demographic data on rural Medicare Supplement policyholders.
Date: 05/2024
Sponsoring organization: AHIP
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Provides an overview of Medicare Supplement, or Medigap, coverage and coverage options. Examines the demographics of Medicare enrollees with Medicare Supplement policies and enrollment trends. Includes demographic data on rural Medicare Supplement policyholders.
Date: 05/2024
Sponsoring organization: AHIP
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Hospital Price Transparency: What Hospitals Need to Know
Webinar recording presents part one of a discussion on CMS's hospital price transparency requirement that went into effect on January 1, 2024. Features a presentation from a representative from the Centers for Medicare and Medicaid Services.
Date: 04/2024
Sponsoring organization: Rural Health Information Hub
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Webinar recording presents part one of a discussion on CMS's hospital price transparency requirement that went into effect on January 1, 2024. Features a presentation from a representative from the Centers for Medicare and Medicaid Services.
Date: 04/2024
Sponsoring organization: Rural Health Information Hub
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Ground Ambulance Industry Trends, 2017–2022: Analysis of Medicare Fee-for-Service Claims
Explores whether ground ambulance organizations have changed between 2017 and 2022. Examines trends in the number of ground ambulance transports paid for by traditional fee-for-service Medicare, the characteristics of organizations billing Medicare for these services, the most common diagnosis codes reported on Medicare ground ambulance claims, and the share of transports to or from an end-stage renal disease (ESRD) facility. Discusses how the growth in Medicare Advantage enrollment could impact the volume of traditional Medicare ground ambulance transports. Includes data on ground ambulance transports by service area population density.
Author(s): Petra W. Rasmussen, Jonathan Cantor, Jennifer Gildner, Sara Heins, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Explores whether ground ambulance organizations have changed between 2017 and 2022. Examines trends in the number of ground ambulance transports paid for by traditional fee-for-service Medicare, the characteristics of organizations billing Medicare for these services, the most common diagnosis codes reported on Medicare ground ambulance claims, and the share of transports to or from an end-stage renal disease (ESRD) facility. Discusses how the growth in Medicare Advantage enrollment could impact the volume of traditional Medicare ground ambulance transports. Includes data on ground ambulance transports by service area population density.
Author(s): Petra W. Rasmussen, Jonathan Cantor, Jennifer Gildner, Sara Heins, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Annual Insurance Update 2024: Health Insurance in Kansas
Reports on health insurance coverage across Kansas and nationwide, including 2009-2022 trends in coverage. Presents 2021 county-level data on uninsured rates by age group and urban/rural classification, as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment by county.
Author(s): Angela S Wu, Kaci Cink, Cynthia Snyder, Wen-Chieh Lin
Date: 04/2024
Sponsoring organization: Kansas Health Institute
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Reports on health insurance coverage across Kansas and nationwide, including 2009-2022 trends in coverage. Presents 2021 county-level data on uninsured rates by age group and urban/rural classification, as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment by county.
Author(s): Angela S Wu, Kaci Cink, Cynthia Snyder, Wen-Chieh Lin
Date: 04/2024
Sponsoring organization: Kansas Health Institute
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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
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
Sponsoring organization: Medicare Payment Advisory Commission
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Survey Emphasizes Scale and Significance of the RHC Program
Summarizes results of a 2024 national survey of 930 Rural Health Clinics. Presents data on the average payer mix, use and attitude toward telehealth services, Medicare Advantage (MA) contract structures, and MA reimbursement relative to traditional Medicare reimbursement, and more.
Additional links: NARHC 2024 Policy Survey Results
Date: 04/2024
Sponsoring organization: National Association of Rural Health Clinics
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Summarizes results of a 2024 national survey of 930 Rural Health Clinics. Presents data on the average payer mix, use and attitude toward telehealth services, Medicare Advantage (MA) contract structures, and MA reimbursement relative to traditional Medicare reimbursement, and more.
Additional links: NARHC 2024 Policy Survey Results
Date: 04/2024
Sponsoring organization: National Association of Rural Health Clinics
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