Rural Health
Resources by Topic: Medicare
How Do Dual-Eligible Individuals Get Their Medicare Coverage?
Issue brief using the 2020 Medicare Beneficiary Summary File to present data on Medicare coverage for dual-eligible people. Includes race and ethnicity information as well as rural and urban comparisons.
Author(s): Maria T. Peña, Maiss Mohamed, Jeannie Fuglesten Biniek, Juliette Cubanski, Tricia Neuman
Date: 07/2023
Sponsoring organization: KFF
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Issue brief using the 2020 Medicare Beneficiary Summary File to present data on Medicare coverage for dual-eligible people. Includes race and ethnicity information as well as rural and urban comparisons.
Author(s): Maria T. Peña, Maiss Mohamed, Jeannie Fuglesten Biniek, Juliette Cubanski, Tricia Neuman
Date: 07/2023
Sponsoring organization: KFF
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California 2023 Regional Health Coverage Fact Sheets
9 fact sheets showing insurance rates in California counties. Includes uninsurance rates, race and ethnicity information, Medi-Cal (Medicaid) and Medicare enrollment data, and more.
Date: 07/2023
Sponsoring organization: Insure the Uninsured Project
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9 fact sheets showing insurance rates in California counties. Includes uninsurance rates, race and ethnicity information, Medi-Cal (Medicaid) and Medicare enrollment data, and more.
Date: 07/2023
Sponsoring organization: Insure the Uninsured Project
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Building On CMS's Accountable Care Vision To Improve Care For Medicare Beneficiaries
Describes progress the Centers for Medicare & Medicaid Services (CMS) has made to date in its accountable care strategy. Outlines areas that CMS is exploring to accelerate the growth of and access to accountable care organizations (ACOs) that can support improved care and quality for beneficiaries, especially those in rural and underserved areas. Covers aligning the testing of ACO models and features with the Shared Savings Program (SSP), growth in the SSP, and using ACOs to reach more underserved populations and promote health equity.
Author(s): Purva Rawal, Douglas Jacobs, Elizabeth Fowler, Meena Seshamani
Citation: Health Affairs Forefront
Date: 07/2023
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Describes progress the Centers for Medicare & Medicaid Services (CMS) has made to date in its accountable care strategy. Outlines areas that CMS is exploring to accelerate the growth of and access to accountable care organizations (ACOs) that can support improved care and quality for beneficiaries, especially those in rural and underserved areas. Covers aligning the testing of ACO models and features with the Shared Savings Program (SSP), growth in the SSP, and using ACOs to reach more underserved populations and promote health equity.
Author(s): Purva Rawal, Douglas Jacobs, Elizabeth Fowler, Meena Seshamani
Citation: Health Affairs Forefront
Date: 07/2023
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Updated Medicare FFS Telehealth Trends by Beneficiary Characteristics, Visit Specialty and State, 2019-2021
Examines telehealth visits by Medicare beneficiaries from 2019 through 2021. Compares telehealth use by patient characteristics, including urban and rural residence and Primary Care Health Professional Shortage Area (HPSA), visit specialty, health conditions, and state.
Author(s): Lok Wong Samson, Sara J. Couture, Tim B. Creedon, Laura Jacobus-Kantor, Steven Sheingold
Date: 07/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines telehealth visits by Medicare beneficiaries from 2019 through 2021. Compares telehealth use by patient characteristics, including urban and rural residence and Primary Care Health Professional Shortage Area (HPSA), visit specialty, health conditions, and state.
Author(s): Lok Wong Samson, Sara J. Couture, Tim B. Creedon, Laura Jacobus-Kantor, Steven Sheingold
Date: 07/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: Third Evaluation Report
Evaluates the first four and a half performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes trends in substance use disorder diagnosis and treatment for Medicaid members. Outlines challenges and lessons learned, as well as areas for future research.
Additional links: Findings at a Glance, Technical Appendices
Date: 07/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first four and a half performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes trends in substance use disorder diagnosis and treatment for Medicaid members. Outlines challenges and lessons learned, as well as areas for future research.
Additional links: Findings at a Glance, Technical Appendices
Date: 07/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Care Access and Utilization among Medicare Beneficiaries Living with Parkinson's Disease
Analyzes healthcare utilization by 685,116 Medicare patients with Parkinson's disease (PD) in 2019. Data is broken down by a variety of demographics and rurality. Discusses health disparities, mental health, and distribution of neurologists between rural and urban areas.
Author(s): Caroline Pearson, Alex Hartzman, Dianne Munevar, et al.
Citation: npj Parkinson's Disease, 9, 108
Date: 07/2023
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Analyzes healthcare utilization by 685,116 Medicare patients with Parkinson's disease (PD) in 2019. Data is broken down by a variety of demographics and rurality. Discusses health disparities, mental health, and distribution of neurologists between rural and urban areas.
Author(s): Caroline Pearson, Alex Hartzman, Dianne Munevar, et al.
Citation: npj Parkinson's Disease, 9, 108
Date: 07/2023
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2021 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2021. 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: 07/2023
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 2021. 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: 07/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Delta Region Community Health Systems Development (DRCHSD) Program: Revenue Cycle Management Best Practices Guide
Offers rural hospital executives and management teams best practice concepts in revenue cycle management by assisting them in identifying performance improvement within their hospitals and departments. Provides State Offices of Rural Health (SORH) directors and Flex Program coordinators a better understanding of the revenue cycle best practices to help them design educational training programs to support rural hospital administrators with performance improvement.
Additional links: Check List
Date: 07/2023
Sponsoring organizations: BKD CPAs & Advisors, National Rural Health Resource Center
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Offers rural hospital executives and management teams best practice concepts in revenue cycle management by assisting them in identifying performance improvement within their hospitals and departments. Provides State Offices of Rural Health (SORH) directors and Flex Program coordinators a better understanding of the revenue cycle best practices to help them design educational training programs to support rural hospital administrators with performance improvement.
Additional links: Check List
Date: 07/2023
Sponsoring organizations: BKD CPAs & Advisors, National Rural Health Resource Center
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Nursing Home Staffing Study: Comprehensive Report
Examines the level and type of staffing needed to promote acceptable nursing home quality and safety. Explores the potential implications and feasibility of increased staffing and costs to nursing homes. Presents four options for minimum staffing requirements and their cost, quality, and safety impacts. Includes rural references and considerations throughout.
Additional links: Literature Review Results Table, State Minimum Staffing Requirement
Date: 06/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Examines the level and type of staffing needed to promote acceptable nursing home quality and safety. Explores the potential implications and feasibility of increased staffing and costs to nursing homes. Presents four options for minimum staffing requirements and their cost, quality, and safety impacts. Includes rural references and considerations throughout.
Additional links: Literature Review Results Table, State Minimum Staffing Requirement
Date: 06/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Impact of Higher Payments for Rural Home Health Episodes on Rehospitalizations
Examines the impact of home health rural add-on payments on beneficiary outcomes, specifically on rehospitalizations. Uses Medicare data from 2007 to 2014 to compare rehospitalizations between rural and urban post-acute home health episodes before and after the implementation of the add-on payments in 2010. Discusses the implications of the findings on home health payment policy.
Author(s): Lacey Loomer, Momotazur Rahman, Tracy M. Mroz, Pedro L. Gozalo, Vincent Mor
Citation: Journal of Rural Health, 39(3), 604-610
Date: 06/2023
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Examines the impact of home health rural add-on payments on beneficiary outcomes, specifically on rehospitalizations. Uses Medicare data from 2007 to 2014 to compare rehospitalizations between rural and urban post-acute home health episodes before and after the implementation of the add-on payments in 2010. Discusses the implications of the findings on home health payment policy.
Author(s): Lacey Loomer, Momotazur Rahman, Tracy M. Mroz, Pedro L. Gozalo, Vincent Mor
Citation: Journal of Rural Health, 39(3), 604-610
Date: 06/2023
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