Rural Health
Resources by Topic: Medicare
Geographic Variation in Uncompensated Care Between Rural and Urban Hospitals
Findings brief describing how uncompensated hospital care varies across regions of the country, using data from the 2014-2016 Medicare Cost Report Worksheet S-10. Features statistics including breakdowns by Critical Access Hospitals (CAHs), other rural hospitals, and urban hospitals.
Author(s): Krystal G. Garcia, Kristie Thompson, Hilda A. Howard, George H. Pink
Date: 06/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief describing how uncompensated hospital care varies across regions of the country, using data from the 2014-2016 Medicare Cost Report Worksheet S-10. Features statistics including breakdowns by Critical Access Hospitals (CAHs), other rural hospitals, and urban hospitals.
Author(s): Krystal G. Garcia, Kristie Thompson, Hilda A. Howard, George H. Pink
Date: 06/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Hospital Transitional Care Program Reduces Medicare Spending
Evaluates the impact of a weekly transitional care intervention, conducted by phone for recently discharged patients, on service use and spending among Medicare fee-for-service beneficiaries at a community-based hospital in rural Worcester County, Maryland.
Author(s): Keith Kranker, Linda M. Barterian, Rumin Sarwar, et al.
Citation: American Journal of Managed Care, 24(5), 256-260
Date: 05/2018
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Evaluates the impact of a weekly transitional care intervention, conducted by phone for recently discharged patients, on service use and spending among Medicare fee-for-service beneficiaries at a community-based hospital in rural Worcester County, Maryland.
Author(s): Keith Kranker, Linda M. Barterian, Rumin Sarwar, et al.
Citation: American Journal of Managed Care, 24(5), 256-260
Date: 05/2018
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Insurance and Access to Care in Urban and Rural Areas, 2014-2015
Statistical brief using data from the Medical Expenditure Panel Survey Household Component to examine the percentages of people uninsured, those without a usual source of care, and those reporting unmet needs for medical or dental care and prescription drugs. Features statistics including selected characteristics of the study population, with breakdowns by 3 population levels of metropolitan areas and 4 categories of non-metro counties.
Author(s): James B. Kirby, Pradip Muhuri
Date: 05/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Statistical brief using data from the Medical Expenditure Panel Survey Household Component to examine the percentages of people uninsured, those without a usual source of care, and those reporting unmet needs for medical or dental care and prescription drugs. Features statistics including selected characteristics of the study population, with breakdowns by 3 population levels of metropolitan areas and 4 categories of non-metro counties.
Author(s): James B. Kirby, Pradip Muhuri
Date: 05/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Department of Health and Human Services, Centers for Medicare and Medicaid Services: Medicare Program; Durable Medical Equipment Fee Schedule Adjustments to Resume the Transitional 50/50 Blended Rates to Provide Relief in Rural Areas and Non-Contiguous Areas
Summarizes the Government Accountability Office's (GAO) review of the Department of Health and Human Services, Centers for Medicare and Medicaid Services' (CMS) rule on the Medicare Program durable medical equipment (DME) fee schedule adjustments to resume the transitional 50/50 blended rates providing relief in rural areas and non-contiguous areas.
Additional links: Full Report
Date: 05/2018
Sponsoring organization: Government Accountability Office
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Summarizes the Government Accountability Office's (GAO) review of the Department of Health and Human Services, Centers for Medicare and Medicaid Services' (CMS) rule on the Medicare Program durable medical equipment (DME) fee schedule adjustments to resume the transitional 50/50 blended rates providing relief in rural areas and non-contiguous areas.
Additional links: Full Report
Date: 05/2018
Sponsoring organization: Government Accountability Office
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Toward Hospital Global Budgeting: State Considerations
Overview of hospital global budgeting, using case studies from Maryland, Pennsylvania, and Vermont. Explores ways in which global budgets can offer some financial stability for rural hospitals.
Author(s): Robert Murray
Date: 05/2018
Sponsoring organization: State Health & Value Strategies
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Overview of hospital global budgeting, using case studies from Maryland, Pennsylvania, and Vermont. Explores ways in which global budgets can offer some financial stability for rural hospitals.
Author(s): Robert Murray
Date: 05/2018
Sponsoring organization: State Health & Value Strategies
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Evaluation of the Comprehensive Primary Care Initiative: Fourth Annual Report
Final report evaluating the Centers for Medicare and Medicaid Services four-year Comprehensive Primary Care (CPC) initiative. Examines CPC participants, program implementation, and impact of CPC on clinicians and staff, patient experience, cost, service use, and quality of care. Includes information on rural practices participating in the CPC.
Author(s): Deborah Peikes, Grace Anglin, Stacy Dale, et al.
Date: 05/2018
Sponsoring organization: Mathematica Policy Research
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Final report evaluating the Centers for Medicare and Medicaid Services four-year Comprehensive Primary Care (CPC) initiative. Examines CPC participants, program implementation, and impact of CPC on clinicians and staff, patient experience, cost, service use, and quality of care. Includes information on rural practices participating in the CPC.
Author(s): Deborah Peikes, Grace Anglin, Stacy Dale, et al.
Date: 05/2018
Sponsoring organization: Mathematica Policy Research
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Rural Health Care in America: Challenges and Opportunities
Presents the U.S. Senate Committee on Finance full committee hearing on improving rural healthcare across the country. Addresses access to emergency services, rural hospital financial challenges and closures, Accountable Care Organizations, and regulatory and workforce challenges. Features testimonies from representatives of the NC Rural Health Research Program Sheps Center for Health Services Research, the RUPRI Center for Rural Health Policy Analysis, San Luis Valley Health, UnityPoint Health, and Geisinger Health.
Additional links: Statement by James E. Mathews, Statement by Orrin G. Hatch, Statement by Ron Wyden, Testimony by George H. Pink, Testimony by Karen M. Murphy, Testimony by Keith J. Mueller, Testimony by Konnie Martin, Testimony by Susan K. Thompson
Date: 05/2018
Sponsoring organization: Senate Committee on Finance
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Presents the U.S. Senate Committee on Finance full committee hearing on improving rural healthcare across the country. Addresses access to emergency services, rural hospital financial challenges and closures, Accountable Care Organizations, and regulatory and workforce challenges. Features testimonies from representatives of the NC Rural Health Research Program Sheps Center for Health Services Research, the RUPRI Center for Rural Health Policy Analysis, San Luis Valley Health, UnityPoint Health, and Geisinger Health.
Additional links: Statement by James E. Mathews, Statement by Orrin G. Hatch, Statement by Ron Wyden, Testimony by George H. Pink, Testimony by Karen M. Murphy, Testimony by Keith J. Mueller, Testimony by Konnie Martin, Testimony by Susan K. Thompson
Date: 05/2018
Sponsoring organization: Senate Committee on Finance
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Using Telehealth to Improve Home-Based Care for Older Adults and Family Caregivers
Describes consumer perspectives and policy concerns with telehealth. Includes examples of home telehealth strategies, potential benefits and challenges, and discussion of home telehealth coverage in federal and state programs, including the Veterans Health Administration, Medicaid, and Medicare.
Author(s): Winifred V. Quinn, Ellen O'Brien, Gregg Springan
Date: 05/2018
Sponsoring organization: AARP Public Policy Institute
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Describes consumer perspectives and policy concerns with telehealth. Includes examples of home telehealth strategies, potential benefits and challenges, and discussion of home telehealth coverage in federal and state programs, including the Veterans Health Administration, Medicaid, and Medicare.
Author(s): Winifred V. Quinn, Ellen O'Brien, Gregg Springan
Date: 05/2018
Sponsoring organization: AARP Public Policy Institute
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Changes in Hospital Utilization Three Years into Maryland's Global Budget Program for Rural Hospitals
Examines the impact of Maryland's global budget program for acute care hospitals, with a focus on Medicare beneficiaries served by rural hospitals. Compares changes in hospital use and hospital spending between the rural hospitals participating in the global budget program and a control group during a 3-year period. Discusses the policy implications for other states considering alternate payment models.
Author(s): Eric T. Roberts, Laura A. Hatfield, J. Michael McWilliams, et al.
Citation: Health Affairs, 37(4), 644-653
Date: 04/2018
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Examines the impact of Maryland's global budget program for acute care hospitals, with a focus on Medicare beneficiaries served by rural hospitals. Compares changes in hospital use and hospital spending between the rural hospitals participating in the global budget program and a control group during a 3-year period. Discusses the policy implications for other states considering alternate payment models.
Author(s): Eric T. Roberts, Laura A. Hatfield, J. Michael McWilliams, et al.
Citation: Health Affairs, 37(4), 644-653
Date: 04/2018
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Market Characteristics Associated with Rural Hospitals' Provision of Post-Acute Care
Findings brief summarizing hospital- and market-level factors related to post-acute care (PAC) provided in rural hospitals from 2012-2015. Features statistics from 2012-2015 rural Medicare cost reports, PAC provision by census region in 2015, and percent of hospitals in frontier and remote areas in 2015 with breakdowns by type and PAC provision.
Author(s): Abby F. Hoffman, Randy K. Randolph, Alex R. Schulte, George H. Pink
Date: 04/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief summarizing hospital- and market-level factors related to post-acute care (PAC) provided in rural hospitals from 2012-2015. Features statistics from 2012-2015 rural Medicare cost reports, PAC provision by census region in 2015, and percent of hospitals in frontier and remote areas in 2015 with breakdowns by type and PAC provision.
Author(s): Abby F. Hoffman, Randy K. Randolph, Alex R. Schulte, George H. Pink
Date: 04/2018
Sponsoring organization: North Carolina Rural Health Research Program
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