Rural Health
Resources by Topic: Medicare
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
Type: Document
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
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Lessons Learned from Efforts to Support Vulnerable Critical Access and Other Rural Hospitals
Provides an overview of state and federal programs, demonstrations, and models designed to support Critical Access Hospitals (CAHs) and other rural hospitals. Describes challenges facing CAHs and rural hospitals, including chronic workforce shortages, high operating and staffing costs, inadequate reimbursement, operational and regulatory issues, and the diverse demographics of rural communities. Discusses lessons learned, the new for a new rural hospital model, and next steps.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 02/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Provides an overview of state and federal programs, demonstrations, and models designed to support Critical Access Hospitals (CAHs) and other rural hospitals. Describes challenges facing CAHs and rural hospitals, including chronic workforce shortages, high operating and staffing costs, inadequate reimbursement, operational and regulatory issues, and the diverse demographics of rural communities. Discusses lessons learned, the new for a new rural hospital model, and next steps.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 02/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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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
Type: Document
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
Type: Document
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
Type: Document
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
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Chartis Center for Rural Health Research & Resources for the 2024 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes Unrelenting Pressure Pushes Rural Safety Net Crisis into Uncharted Territory, Rural America's OB Deserts Widen in Fallout From Pandemic, and presentation slides on this report from the 2024 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2024
Type: Website
Sponsoring organization: Chartis Center for Rural Health
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Offers research and analysis of the stability of the rural healthcare safety net. Includes Unrelenting Pressure Pushes Rural Safety Net Crisis into Uncharted Territory, Rural America's OB Deserts Widen in Fallout From Pandemic, and presentation slides on this report from the 2024 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2024
Type: Website
Sponsoring organization: Chartis Center for Rural Health
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2024 MIPS Eligibility Decision Tree
Presents information to determine if providers are eligible to participate in the Merit-Based Incentive Payment System (MIPS) in the 2024 Performance Year. Includes information on the low-volume threshold criteria.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents information to determine if providers are eligible to participate in the Merit-Based Incentive Payment System (MIPS) in the 2024 Performance Year. Includes information on the low-volume threshold criteria.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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
Type: Document
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
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Merit-based Incentive Payment System (MIPS): 2024 What's New for Small Practices
Summarizes new elements of the Merit-based Incentive Payment System (MIPS) for small practices - a group of 15 or fewer clinicians billing under a practice's Taxpayer Identification Number (TIN) - during the 2024 performance year. Discusses changes to performance category requirements and flexibilities, new MIPS Value Pathways (MVPs), and performance threshold and payment adjustments. Includes information on performance category redistribution policies for small practices.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes new elements of the Merit-based Incentive Payment System (MIPS) for small practices - a group of 15 or fewer clinicians billing under a practice's Taxpayer Identification Number (TIN) - during the 2024 performance year. Discusses changes to performance category requirements and flexibilities, new MIPS Value Pathways (MVPs), and performance threshold and payment adjustments. Includes information on performance category redistribution policies for small practices.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Merit-based Incentive Payment System (MIPS): 2024 MIPS Quick Start Guide for Small Practices
Provides an overview of the Merit-based Incentive Payment System (MIPS). Outlines 6 steps for small practices regarding participation in the 2024 performance year. Includes information on performance category redistribution policies for small practices.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Merit-based Incentive Payment System (MIPS). Outlines 6 steps for small practices regarding participation in the 2024 performance year. Includes information on performance category redistribution policies for small practices.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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, enhance care coordination, and address health inequity. 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
Type: Document
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, enhance care coordination, and address health inequity. 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
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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