Rural Health
Resources by Topic: Medicare
Pre-Rulemaking Measure Review Measures Under Consideration: 2023 Recommendations Report
Reviews the 42 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2023-2024 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2024
Sponsoring organization: Partnership for Quality Measurement
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Reviews the 42 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2023-2024 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2024
Sponsoring organization: Partnership for Quality Measurement
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Medicare Advantage: It's Here, Now What?
Slides from a presentation at the 2024 National Rural Health Association's Policy Institute conference that discuss Medicare Advantage, with data on eligibility and enrollment percentages depicted for select states as well as by metro versus nonmetro location.
Author(s): Keith J Mueller
Date: 02/2024
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
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Slides from a presentation at the 2024 National Rural Health Association's Policy Institute conference that discuss Medicare Advantage, with data on eligibility and enrollment percentages depicted for select states as well as by metro versus nonmetro location.
Author(s): Keith J Mueller
Date: 02/2024
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
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Policy and Research Update: Financial Models for Rural Hospitals
Slides presented at the 2024 American Hospital Association's Rural Health Care Leadership conference that discuss healthcare payment policies, value-based care, alternative payment models, Medicare Advantage, and more. Provides discussion on how rural hospitals are are adapting to financial models, statistics on insurance adoption, and related resources.
Author(s): Christina Campos, Kristen Dillon, Keith Mueller, George Pink
Date: 02/2024
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
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Slides presented at the 2024 American Hospital Association's Rural Health Care Leadership conference that discuss healthcare payment policies, value-based care, alternative payment models, Medicare Advantage, and more. Provides discussion on how rural hospitals are are adapting to financial models, statistics on insurance adoption, and related resources.
Author(s): Christina Campos, Kristen Dillon, Keith Mueller, George Pink
Date: 02/2024
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
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Medicare Ground Ambulance Data Collection System (GADCS): Rural and Super Rural Organizations Tip Sheet
Covers 6 Ground Ambulance Data Collection System (GADCS) tips and common reporting scenarios for ground ambulance organizations serving rural and super rural areas. Intended to help highlight geographic differences in costs, revenues, and services.
Date: 02/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Covers 6 Ground Ambulance Data Collection System (GADCS) tips and common reporting scenarios for ground ambulance organizations serving rural and super rural areas. Intended to help highlight geographic differences in costs, revenues, and services.
Date: 02/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Access in Brief: Adults with Intellectual Disabilities and Developmental Disabilities
Issue brief examining access to Medicaid coverage for adults with intellectual or developmental disabilities (ID/DD), using data for fiscal years 2017-2018. Compares characteristics of adult Medicaid beneficiaries with ID/DD across racial and ethnic groups and by Medicaid-only or dually eligible status. Includes a section on home and community-based services and features demographics including breakdowns by rural or urban residence.
Date: 02/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Issue brief examining access to Medicaid coverage for adults with intellectual or developmental disabilities (ID/DD), using data for fiscal years 2017-2018. Compares characteristics of adult Medicaid beneficiaries with ID/DD across racial and ethnic groups and by Medicaid-only or dually eligible status. Includes a section on home and community-based services and features demographics including breakdowns by rural or urban residence.
Date: 02/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Unrelenting Pressure Pushes Rural Safety Net Crisis Into Uncharted Territory
Examines financial and operational metrics for rural hospitals. Discusses the growth of Medicare Advantage (MA) enrollment in rural communities between 2019 and 2023, the impact of MA on rural hospital reimbursement, how the Rural Emergency Hospital (REH) designation can provide a path forward for some rural facilities, and the discontinuation of obstetrics and chemotherapy services at rural hospitals since 2011. Includes the percentage of rural hospitals in each state vulnerable to closure and nine factors significantly associated with rural hospital vulnerability.
Date: 02/2024
Sponsoring organization: Chartis Center for Rural Health
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Examines financial and operational metrics for rural hospitals. Discusses the growth of Medicare Advantage (MA) enrollment in rural communities between 2019 and 2023, the impact of MA on rural hospital reimbursement, how the Rural Emergency Hospital (REH) designation can provide a path forward for some rural facilities, and the discontinuation of obstetrics and chemotherapy services at rural hospitals since 2011. Includes the percentage of rural hospitals in each state vulnerable to closure and nine factors significantly associated with rural hospital vulnerability.
Date: 02/2024
Sponsoring organization: Chartis Center for Rural Health
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Medicare Enrollees and the Part D Drug Benefit: Improving Financial Protection through the Low- Income Subsidy
Provides an overview of the Medicare Part D Low-Income Subsidy (LIS) program, which covers some or all Part D drug costs. Presents estimates of number of Medicare Part D enrollees who received LIS in 2020 and their characteristics, as well as Medicare beneficiaries who did and did not have prescription drug coverage but who appear to be eligible for LIS based on income and resources. Compares Medicare enrollees demographic, financial, health status, and healthcare utilization characteristics, including rurality.
Author(s): Yevgeniy Feyman, Joel Ruhter, Kenneth Finegold, et al.
Date: 02/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the Medicare Part D Low-Income Subsidy (LIS) program, which covers some or all Part D drug costs. Presents estimates of number of Medicare Part D enrollees who received LIS in 2020 and their characteristics, as well as Medicare beneficiaries who did and did not have prescription drug coverage but who appear to be eligible for LIS based on income and resources. Compares Medicare enrollees demographic, financial, health status, and healthcare utilization characteristics, including rurality.
Author(s): Yevgeniy Feyman, Joel Ruhter, Kenneth Finegold, et al.
Date: 02/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Critical Access Hospital Telehealth Guide
Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, and enhance care coordination. Focuses on Medicare outpatient telehealth services, but also includes information on Medicaid coverage and remote services that may not strictly be considered telehealth.
Date: 02/2024
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, and enhance care coordination. Focuses on Medicare outpatient telehealth services, but also includes information on Medicaid coverage and remote services that may not strictly be considered telehealth.
Date: 02/2024
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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Nebraska Medicare Certified Rural Health Clinics
Map of the state of Nebraska with counties showing the location of Medicare certified Rural Health Clinics (RHCs) as of February 2024.
Date: 02/2024
Sponsoring organization: Nebraska Department of Health and Human Services
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Map of the state of Nebraska with counties showing the location of Medicare certified Rural Health Clinics (RHCs) as of February 2024.
Date: 02/2024
Sponsoring organization: Nebraska Department of Health and Human Services
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CMS Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities (Webinar)
Recording of a January 2024 webinar providing an overview of the Centers for Medicare & Medicaid Services (CMS) Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities. Discusses rural health resources, including resources on Coverage to Care, the Tribal Roadmap to Better Care, community engagement efforts, and forthcoming initiatives. Focuses on resources tailored to American Indians and Alaska Natives.
Date: 01/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Recording of a January 2024 webinar providing an overview of the Centers for Medicare & Medicaid Services (CMS) Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities. Discusses rural health resources, including resources on Coverage to Care, the Tribal Roadmap to Better Care, community engagement efforts, and forthcoming initiatives. Focuses on resources tailored to American Indians and Alaska Natives.
Date: 01/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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