Rural Health
Resources by Topic: Medicare
Rural/Urban Disparities in the Utilization of Health and Behavioral Assessments/Interventions in the Fee-for-Service Medicare Population
Compares the utilization of Health and Behavioral Assessments and Interventions (HBAI) services by Medicare recipients in rural and urban areas. Includes data on HBAI providers, service units, beneficiaries, and average utilization rate in rural and urban counties.
Author(s): Christian Rhudy, Eugene Shin, Jeffery C. Talbert
Citation: Rural and Underserved Health Research Center Publications
Date: 06/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Compares the utilization of Health and Behavioral Assessments and Interventions (HBAI) services by Medicare recipients in rural and urban areas. Includes data on HBAI providers, service units, beneficiaries, and average utilization rate in rural and urban counties.
Author(s): Christian Rhudy, Eugene Shin, Jeffery C. Talbert
Citation: Rural and Underserved Health Research Center Publications
Date: 06/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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CMS Roadmap: Strategy to Fight the Opioid Crisis
An overview of the efforts the Centers for Medicare and Medicaid Services is undertaking to address the opioid epidemic. Highlights a three-pronged approach focusing on prevention, treatment, and data utilization to target prevention and treatment activities.
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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An overview of the efforts the Centers for Medicare and Medicaid Services is undertaking to address the opioid epidemic. Highlights a three-pronged approach focusing on prevention, treatment, and data utilization to target prevention and treatment activities.
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Panel Comment Letter – Maternal and Infant Health Care in Rural Communities
Offers comments in response to the CMS Maternal and Infant Health Care in Rural Communities Request for Information. Describes Medicare cost reporting challenges for obstetric services at Critical Access Hospitals and possible changes to maternal health coverage under Medicaid.
Date: 05/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the CMS Maternal and Infant Health Care in Rural Communities Request for Information. Describes Medicare cost reporting challenges for obstetric services at Critical Access Hospitals and possible changes to maternal health coverage under Medicaid.
Date: 05/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Fact Sheet: Rural Community Hospital (RCH) Demonstration
Provides an overview of the Rural Community Hospital demonstration program. Describes reimbursement challenges that rural hospitals face and the early results of the program.
Date: 05/2020
Type: Document
Sponsoring organization: American Hospital Association
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Provides an overview of the Rural Community Hospital demonstration program. Describes reimbursement challenges that rural hospitals face and the early results of the program.
Date: 05/2020
Type: Document
Sponsoring organization: American Hospital Association
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Access to Medicare Part D Plans: A Comparison of Metropolitan and Nonmetropolitan Areas
Policy brief focusing on the types of Medicare Part D plans offered in metropolitan, micropolitan, and noncore locations. Offers comparisons between stand-alone plans and Medicare Advantage plans, in terms of premiums, benefits, and the manner in which these plans are offered.
Author(s): Mochamad Nataliansyah, Abiodun Salako, Fred Ullrich, Keith Mueller,
Date: 05/2020
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief focusing on the types of Medicare Part D plans offered in metropolitan, micropolitan, and noncore locations. Offers comparisons between stand-alone plans and Medicare Advantage plans, in terms of premiums, benefits, and the manner in which these plans are offered.
Author(s): Mochamad Nataliansyah, Abiodun Salako, Fred Ullrich, Keith Mueller,
Date: 05/2020
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2021
Comments on an April 21, 2020, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2021. Includes comments on the adoption of the Office of Management and Budget's geographic area delineations to determine wage index values.
Date: 05/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 21, 2020, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2021. Includes comments on the adoption of the Office of Management and Budget's geographic area delineations to determine wage index values.
Date: 05/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Estimated Reduction in CAH Profitability from Loss of Cost-Based Reimbursement for Swing Beds
Examines the impact of proposed legislation recommending changes to swing bed reimbursements for Critical Access Hospitals (CAHs) from cost-based to the Skilled Nursing Facility Prospective Payment System (SNF PPS). Estimates CAH profitability using reimbursement formulas from Medicare cost reports and discusses the characteristics of CAHs most affected by a change in swing bed reimbursement.
Author(s): Drake M. Broussard, Kristin L. Reiter
Date: 05/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the impact of proposed legislation recommending changes to swing bed reimbursements for Critical Access Hospitals (CAHs) from cost-based to the Skilled Nursing Facility Prospective Payment System (SNF PPS). Estimates CAH profitability using reimbursement formulas from Medicare cost reports and discusses the characteristics of CAHs most affected by a change in swing bed reimbursement.
Author(s): Drake M. Broussard, Kristin L. Reiter
Date: 05/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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As It Grows, Medicare Advantage is Enrolling More Low-Income and Medically Complex Beneficiaries
Examines how the demographics, socioeconomic status, and clinical characteristics of Medicare Advantage enrollees changed between 2012 and 2015. Explores how these changes related to changes in healthcare utilization and performance during this time.
Author(s): Christie Teigland, Zulkarnain Pulungan, Tanya Shah, Eric Schneider, Shawn Bishop
Date: 05/2020
Type: Document
Sponsoring organization: Commonwealth Fund
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Examines how the demographics, socioeconomic status, and clinical characteristics of Medicare Advantage enrollees changed between 2012 and 2015. Explores how these changes related to changes in healthcare utilization and performance during this time.
Author(s): Christie Teigland, Zulkarnain Pulungan, Tanya Shah, Eric Schneider, Shawn Bishop
Date: 05/2020
Type: Document
Sponsoring organization: Commonwealth Fund
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Medicare Primer
A general overview of the Medicare program. Describes the program's history, eligibility criteria, covered services, provider payment systems, and program administration, and financing. Includes information specific to rural areas.
Date: 05/2020
Type: Document
Sponsoring organization: Congressional Research Service
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A general overview of the Medicare program. Describes the program's history, eligibility criteria, covered services, provider payment systems, and program administration, and financing. Includes information specific to rural areas.
Date: 05/2020
Type: Document
Sponsoring organization: Congressional Research Service
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April 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2020 meeting. Covers value-based payment in Medicare, challenges in maintaining and increasing savings from accountable care organizations, incentives in Medicare Part D, the Medicare Advantage quality bonus program, and Medicare's end-stage renal disease (ESRD) prospective payment system. Includes a discussion of ESRD payment adjustments for rural and low-volume providers.
Date: 04/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2020 meeting. Covers value-based payment in Medicare, challenges in maintaining and increasing savings from accountable care organizations, incentives in Medicare Part D, the Medicare Advantage quality bonus program, and Medicare's end-stage renal disease (ESRD) prospective payment system. Includes a discussion of ESRD payment adjustments for rural and low-volume providers.
Date: 04/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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