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Rural Health
Resources by Topic: Medicare

Health Panel Comment Letter – Medicare Advantage Program
Offers comments in response to the Centers for Medicare & Medicaid Services (CMS) Request for Information on various aspects of the Medicare Advantage (MA) program. Presents a rural perspective on the MA program and discusses health equity in the MA program, expanding access to care, and value-based contracting. Includes data on the proportion of MA plans offering supplemental benefits in noncore, micropolitan, and metropolitan counties in 2020.
Date: 08/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Medicare Advantage in 2022: Enrollment Update and Key Trends
Explores trends related to the growth of the Medicare Advantage (MA) program. Provides statistics on MA enrollment, the types of plans in which beneficiaries are enrolled, and geographic variation. Includes an interactive map that displays MA penetration rates by state and county.
Date: 08/2022
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Medicare Beneficiary Access to Prescription Drugs in Rural Areas
Policy brief identifying the types of pharmacies used by Medicare beneficiaries in rural areas with limited or no access to pharmacies, using data from July 2016 to December 2017. Features statistics on county and beneficiary characteristics and claim event counts, with breakdowns by county pharmacy cohort.
Author(s): Onyinye Oyeka, Fred Ullrich, Keith J. Mueller
Date: 08/2022
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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2023 Merit-Based Incentive Payment System (MIPS) Payment Year Payment Adjustment User Guide
Provides information on Merit-Based Incentive Payment System (MIPS) payment adjustments for calendar year 2023. Covers how COVID-19 relief efforts affect 2023 MIPS payment adjustments. Offers answers to frequently asked questions.
Date: 08/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Comment on CMS's Proposed Rule on the ESRD PPS Update for CY 2023
Comments on a June 28, 2022, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the low-volume payment adjustment (LVPA) and the rural adjustment.
Date: 08/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Merit-Based Incentive Payment System (MIPS): Small Practice Countdown to Performance Year 2022 Data Submission Checklist
Checklist outlining the steps small practices must follow to submit Merit-based Incentive Payment System (MIPS) 2022 performance year data. Highlights key dates and links to key resources for small practices.
Date: 08/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Comment on CMS's Proposed Rule on the Home Health Prospective Payment System for CY 2023
Comments on a June 23, 2022, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding the collection of data on the use of telecommunications technology under the Medicare home health benefit and quality measure stratification as a tool to address healthcare disparities and advance health equity.
Date: 08/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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2020 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2020. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, as well as their mean payment adjustment scores.
Date: 08/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing
Addresses issues related to Medicare fee-for-service (FFS) billing during the COVID-19 public health emergency. Covers COVID-19 test specimen collection, diagnostic laboratory services, hospital services, ambulance services, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), telehealth, skilled nursing facility services, home health, vaccination, and other services.
Date: 08/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Comment on CMS's Proposed Rule on Conditions of Participation (CoPs) for Rural Emergency Hospitals and Critical Access Hospital CoP Updates
Comments on July 2022 Federal Register proposed rule regarding staffing requirements for rural emergency hospitals (REHs). Discusses whether proposed staffing requirements are sufficient to ensure access to emergency care.
Date: 07/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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