Rural Health
Resources by Topic: Medicare
Rural Health Care Disparities Created by Medicare Regulations
Recording of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Recording of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration
Reports on a 3 year demonstration project regarding the change of Federally Qualified Health Centers (FQHCs) into advanced primary care practices (APCPs) that provide comprehensive patient-centered healthcare for Medicare beneficiaries. Examines the processes and challenges involved in this change and the effects of the APCP model on access, quality and cost of care delivered to Medicare and Medicaid patients. Includes a rural/urban comparison of findings and data.
Author(s): Katherine L. Kahn, Justin W. Timbie, Mark W. Friedberg, et al.
Date: 07/2015
Type: Document
Sponsoring organization: RAND Corporation
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Reports on a 3 year demonstration project regarding the change of Federally Qualified Health Centers (FQHCs) into advanced primary care practices (APCPs) that provide comprehensive patient-centered healthcare for Medicare beneficiaries. Examines the processes and challenges involved in this change and the effects of the APCP model on access, quality and cost of care delivered to Medicare and Medicaid patients. Includes a rural/urban comparison of findings and data.
Author(s): Katherine L. Kahn, Justin W. Timbie, Mark W. Friedberg, et al.
Date: 07/2015
Type: Document
Sponsoring organization: RAND Corporation
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What Do the Medicare and Medicaid Programs Mean to Rural Health?
On the 50th anniversary of the Medicare and Medicaid programs, five rural health experts share their insights on the impact of these programs in rural America.
Author(s): Alan Morgan, Wayne Myers, Thomas Hoyer, Thomas Ricketts, Keith Mueller
Citation: Rural Monitor
Date: 07/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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On the 50th anniversary of the Medicare and Medicaid programs, five rural health experts share their insights on the impact of these programs in rural America.
Author(s): Alan Morgan, Wayne Myers, Thomas Hoyer, Thomas Ricketts, Keith Mueller
Citation: Rural Monitor
Date: 07/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Hospital Policy Issues: Statement by Mark Miller, Medicare Payment Advisory Commission before Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives
Testimony from the Medicare Payment Advisory Commission's executive director presented at a July 22nd, 2015, Ways and Means subcommittee hearing concerning Medicare hospital payment issues, rural health issues, and beneficiary access to care. Discusses Medicare's rural hospital payment adjustments, how they impact access to care, and principles to consider in evaluating rural add-on payments. Also discusses MedPAC recommendations related to graduate medical education (GME), including some related to rural training.
Author(s): Mark E. Miller
Date: 07/2015
Type: Document
Sponsoring organizations: House Ways and Means Committee, Subcommittee on Health, Medicare Payment Advisory Commission
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Testimony from the Medicare Payment Advisory Commission's executive director presented at a July 22nd, 2015, Ways and Means subcommittee hearing concerning Medicare hospital payment issues, rural health issues, and beneficiary access to care. Discusses Medicare's rural hospital payment adjustments, how they impact access to care, and principles to consider in evaluating rural add-on payments. Also discusses MedPAC recommendations related to graduate medical education (GME), including some related to rural training.
Author(s): Mark E. Miller
Date: 07/2015
Type: Document
Sponsoring organizations: House Ways and Means Committee, Subcommittee on Health, Medicare Payment Advisory Commission
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Rural and Urban Differences in Choice of and Satisfaction with Medicare Part D Plans
Examines how drug plan selection experiences and satisfaction levels differ for rural and urban Medicare beneficiaries. Includes breakdowns by three locations types, considerations in choosing plans, and percentage of people who felt satisfied and confident in their coverage.
Author(s): Carrie Henning-Smith, Heidi O'Connor, Michelle Casey, Ira Moscovice
Date: 07/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines how drug plan selection experiences and satisfaction levels differ for rural and urban Medicare beneficiaries. Includes breakdowns by three locations types, considerations in choosing plans, and percentage of people who felt satisfied and confident in their coverage.
Author(s): Carrie Henning-Smith, Heidi O'Connor, Michelle Casey, Ira Moscovice
Date: 07/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Differences in Part D Plans Offered to Rural and Urban Medicare Beneficiaries
Analyzes how Medicare Part D plan options differ for rural and urban residents in terms of premiums, deductibles, and copayments, as well as differences in plan options within more-densely and less-densely populated rural areas. Includes statistical breakdowns by three location types, number of available plans, average premiums, deductible amounts, and average co-pays.
Author(s): Heidi O'Connor, Carrie Henning-Smith, Michelle Casey, Ira Moscovice
Date: 07/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Analyzes how Medicare Part D plan options differ for rural and urban residents in terms of premiums, deductibles, and copayments, as well as differences in plan options within more-densely and less-densely populated rural areas. Includes statistical breakdowns by three location types, number of available plans, average premiums, deductible amounts, and average co-pays.
Author(s): Heidi O'Connor, Carrie Henning-Smith, Michelle Casey, Ira Moscovice
Date: 07/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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2015: Rural Medicare Advantage Enrollment Update
Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans and other prepaid enrollment plans. Compares national and rural MA enrollment, and variability by state.
Author(s): Chance Finegan, Fred Ullrich, Keith Mueller
Date: 07/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans and other prepaid enrollment plans. Compares national and rural MA enrollment, and variability by state.
Author(s): Chance Finegan, Fred Ullrich, Keith Mueller
Date: 07/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Teaching Hospitals: Preparing Tomorrow's Physicians Today
An overview of the value teaching hospitals bring in rural and urban areas, serving as training centers to prepare physicians in clinical settings, provide specialty training and specialty services, engage in research and innovation, and prepare healthcare professionals to adapt to changes in the healthcare environment. Discusses the federal (Medicare and Medicaid) financial support mechanisms teaching hospitals receive and the impact this support has on the increased cost of clinical training of new physicians.
Date: 06/2015
Type: Document
Sponsoring organization: American Hospital Association
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An overview of the value teaching hospitals bring in rural and urban areas, serving as training centers to prepare physicians in clinical settings, provide specialty training and specialty services, engage in research and innovation, and prepare healthcare professionals to adapt to changes in the healthcare environment. Discusses the federal (Medicare and Medicaid) financial support mechanisms teaching hospitals receive and the impact this support has on the increased cost of clinical training of new physicians.
Date: 06/2015
Type: Document
Sponsoring organization: American Hospital Association
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2015
Includes chapters on coordinating Medicare policy across payment models, Part B drug payment policy, value-based incentives for managing Part B drug use, multiple drug use including opioids among Medicare Part D enrollees, hospital short-stays, and new methods of measuring quality of care. Rural hospitals, rural referral centers, and rural patient populations are discussed throughout this report.
Date: 06/2015
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Includes chapters on coordinating Medicare policy across payment models, Part B drug payment policy, value-based incentives for managing Part B drug use, multiple drug use including opioids among Medicare Part D enrollees, hospital short-stays, and new methods of measuring quality of care. Rural hospitals, rural referral centers, and rural patient populations are discussed throughout this report.
Date: 06/2015
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress: Overview of the 340B Drug Pricing Program
Provides a general overview of the 340B Drug Pricing Program, including eligibility criteria for hospitals and providers, analysis of the program's financial impact, and a summary of the debate over the program's importance, especially to rural and underserved communities.
Date: 05/2015
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Provides a general overview of the 340B Drug Pricing Program, including eligibility criteria for hospitals and providers, analysis of the program's financial impact, and a summary of the debate over the program's importance, especially to rural and underserved communities.
Date: 05/2015
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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