Rural Health
Resources by Topic: Medicare
The Effects of Medicare Advantage on Rural Hospitals With St. Bernards Healthcare
Podcast episode featuring a discussion with Chris Barber, president and CEO of St. Bernards Healthcare, which serves communities in Arkansas and Missouri. Describes how certain Medicare Advantage plan practices can create problems for rural hospitals, health systems, and patients.
Date: 01/2024
Sponsoring organization: American Hospital Association
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Podcast episode featuring a discussion with Chris Barber, president and CEO of St. Bernards Healthcare, which serves communities in Arkansas and Missouri. Describes how certain Medicare Advantage plan practices can create problems for rural hospitals, health systems, and patients.
Date: 01/2024
Sponsoring organization: American Hospital Association
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Billing Requirements for Intensive Outpatient Program Services for Federally Qualified Health Centers & Rural Health Clinics
Provides an overview of Medicare coverage for intensive outpatient program (IOP) services and billing requirements for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).
Date: 01/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of Medicare coverage for intensive outpatient program (IOP) services and billing requirements for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).
Date: 01/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Data Book: Beneficiaries Dually Eligible for Medicare and Medicaid
Provides an overview of dual-eligible beneficiaries who receive benefits from both Medicare and Medicaid. Analyzes data from calendar year 2021 to examine beneficiary demographics, eligibility pathways, utilization and spending patterns, and more. Exhibit 6 on page 35 includes a breakdown of beneficiaries based on urban or rural residence.
Date: 01/2024
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, Medicare Payment Advisory Commission
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Provides an overview of dual-eligible beneficiaries who receive benefits from both Medicare and Medicaid. Analyzes data from calendar year 2021 to examine beneficiary demographics, eligibility pathways, utilization and spending patterns, and more. Exhibit 6 on page 35 includes a breakdown of beneficiaries based on urban or rural residence.
Date: 01/2024
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, Medicare Payment Advisory Commission
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January 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2024 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, outpatient dialysis services, hospice services, skilled nursing facility services, home health agency services, and inpatient rehabilitation facility services. Discusses status reports on ambulatory surgical centers, Medicare Part D, and the Medicare Advantage program, as well as policy options for standardized benefits in Medicare Advantage plans. Includes rural references and considerations throughout.
Additional links: Assessing Payment Adequacy and Updating Payments: Hospital Inpatient and Outpatient Services
Date: 01/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2024 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, outpatient dialysis services, hospice services, skilled nursing facility services, home health agency services, and inpatient rehabilitation facility services. Discusses status reports on ambulatory surgical centers, Medicare Part D, and the Medicare Advantage program, as well as policy options for standardized benefits in Medicare Advantage plans. Includes rural references and considerations throughout.
Additional links: Assessing Payment Adequacy and Updating Payments: Hospital Inpatient and Outpatient Services
Date: 01/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Advantage Demographics Report, 2021
Summarizes demographics data on Medicare Advantage enrollment in 2021. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2024
Sponsoring organization: AHIP
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Summarizes demographics data on Medicare Advantage enrollment in 2021. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2024
Sponsoring organization: AHIP
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Evaluation of the Next Generation Accountable Care Organization (NGACO) Model: Final Report
Sixth and final evaluation report on the Next Generation Accountable Care Organization (NGACO) Model. Summarizes findings from across all six performance years (2016-2021) and explores how participating entities responded to the model and how they did or did not achieve model goals. Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care; variations in model outcomes by organization characteristics; spending patterns of beneficiaries served by NGACOs; population health strategies and pathways to reduced spending; lessons learned; and more. The appendices include data on community and beneficiary characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Sixth and final evaluation report on the Next Generation Accountable Care Organization (NGACO) Model. Summarizes findings from across all six performance years (2016-2021) and explores how participating entities responded to the model and how they did or did not achieve model goals. Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care; variations in model outcomes by organization characteristics; spending patterns of beneficiaries served by NGACOs; population health strategies and pathways to reduced spending; lessons learned; and more. The appendices include data on community and beneficiary characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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End-Stage Renal Disease Treatment Choices (ETC) Model: Second Annual Evaluation Report
Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
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Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
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Graduate Medical Education Funding
Explores graduate medical education (GME), focusing on types of locations where it is offered and sources of funding available, including Medicare and Medicaid. Describes ways in which states are rethinking GME to better meet the needs of states and communities most impacted by physician workforce shortages, including rural areas. Includes a map with shadings showing levels of Medicare GME-funded residents by state.
Date: 01/2024
Sponsoring organization: National Conference of State Legislatures
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Explores graduate medical education (GME), focusing on types of locations where it is offered and sources of funding available, including Medicare and Medicaid. Describes ways in which states are rethinking GME to better meet the needs of states and communities most impacted by physician workforce shortages, including rural areas. Includes a map with shadings showing levels of Medicare GME-funded residents by state.
Date: 01/2024
Sponsoring organization: National Conference of State Legislatures
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Medicare COVID-19 Hospitalization Trends Report
Reports cases and hospitalization data for Medicare beneficiaries diagnosed with COVID-19 between January 1, 2020, and June 30, 2023. Includes data on beneficiary demographics, case and hospitalization trends, and discharge status among beneficiaries hospitalized for COVID-19. Compares COVID-19 case and hospitalization rates by rural and urban status.
Date: 01/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reports cases and hospitalization data for Medicare beneficiaries diagnosed with COVID-19 between January 1, 2020, and June 30, 2023. Includes data on beneficiary demographics, case and hospitalization trends, and discharge status among beneficiaries hospitalized for COVID-19. Compares COVID-19 case and hospitalization rates by rural and urban status.
Date: 01/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Research Institute for Home Care Chartbook 2024
Provides an overview of home health, including patient demographics and clinical profiles, organizational trends, the economic contribution of home health agencies, and patient outcomes. Includes charts and graphs throughout, as well as state-by-state data. Slide 11 highlights the rural-urban distribution of home health users.
Date: 2024
Sponsoring organizations: KNG Health Consulting, National Alliance for Care at Home, Research Institute for Home Care
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Provides an overview of home health, including patient demographics and clinical profiles, organizational trends, the economic contribution of home health agencies, and patient outcomes. Includes charts and graphs throughout, as well as state-by-state data. Slide 11 highlights the rural-urban distribution of home health users.
Date: 2024
Sponsoring organizations: KNG Health Consulting, National Alliance for Care at Home, Research Institute for Home Care
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