Rural Health
Resources by Topic: Medicare
Costs of Accountable Care Organization Participation for Primary Care Providers: Early Stage Results
Analyzes data from 2012 and 2013 Medicare cost reports to determine whether joining an Accountable Care Organization (ACO) is associated with an increase in a Rural Health Clinic's (RHC) per visit cost, particularly during the first two years of participation.
Author(s): Richard A. Hofler, Judith Ortiz
Citation: BMC Health Services Research, 16(315)
Date: 07/2016
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Analyzes data from 2012 and 2013 Medicare cost reports to determine whether joining an Accountable Care Organization (ACO) is associated with an increase in a Rural Health Clinic's (RHC) per visit cost, particularly during the first two years of participation.
Author(s): Richard A. Hofler, Judith Ortiz
Citation: BMC Health Services Research, 16(315)
Date: 07/2016
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Medicare Access and CHIP Reauthorization Act of 2015: Ensuring Successful Implementation of Physician Payment Reforms
Recording of a July 13, 2016, U.S. Senate Finance Committee hearing regarding the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Andy Slavitt, Acting Administrator for the Centers for Medicare and Medicaid Services, discusses the input received from stakeholders and the resulting focus on patient-first, physician-driven, collaborative care. He also emphasizes the need to support small, rural practices and those in underserved areas to achieve success.
Additional links: Andrew M. Slavitt, Centers for Medicare & Medicaid Services - Testimony
Date: 07/2016
Sponsoring organization: Senate Committee on Finance
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Recording of a July 13, 2016, U.S. Senate Finance Committee hearing regarding the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Andy Slavitt, Acting Administrator for the Centers for Medicare and Medicaid Services, discusses the input received from stakeholders and the resulting focus on patient-first, physician-driven, collaborative care. He also emphasizes the need to support small, rural practices and those in underserved areas to achieve success.
Additional links: Andrew M. Slavitt, Centers for Medicare & Medicaid Services - Testimony
Date: 07/2016
Sponsoring organization: Senate Committee on Finance
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Medicare Copayments for Critical Access Hospital Outpatient Services - Update
Estimates the impact of Medicare Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals (CAHs), and identifies the Medicare fee-for-service (FFS) proportion of key services provided in CAHs.
Author(s): Allison Briggs, Matthew Toth, Sara Freeman
Date: 06/2016
Sponsoring organization: Medicare Payment Advisory Commission
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Estimates the impact of Medicare Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals (CAHs), and identifies the Medicare fee-for-service (FFS) proportion of key services provided in CAHs.
Author(s): Allison Briggs, Matthew Toth, Sara Freeman
Date: 06/2016
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2016
Includes chapters on pricing and payment systems, Medicare drug spending, Part B drug and oncology payment policy issues, improving Part D, improving efficiency and preserving access to emergency care in rural areas, telehealth services and Medicare, and issues affecting dual-eligible beneficiaries. Rural providers and rural patient populations are discussed throughout the report.
Date: 06/2016
Sponsoring organization: Medicare Payment Advisory Commission
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Includes chapters on pricing and payment systems, Medicare drug spending, Part B drug and oncology payment policy issues, improving Part D, improving efficiency and preserving access to emergency care in rural areas, telehealth services and Medicare, and issues affecting dual-eligible beneficiaries. Rural providers and rural patient populations are discussed throughout the report.
Date: 06/2016
Sponsoring organization: Medicare Payment Advisory Commission
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Association Between the Value-Based Purchasing Pay for Performance Program and Patient Mortality in US Hospitals: Observational Study
Examines the impact of Medicare's Hospital Value-Based Purchasing (HVBP) program on mortality for pneumonia, heart failure, and acute myocardial infarction by comparing data from acute care hospitals participating in the program to data from over 1,300 Critical Access Hospitals (CAHs) and 44 hospitals in Maryland not in the program.
Author(s): Jose F. Figueroa, Yusuke Tsugawa, Jie Zheng, E. John Orav, Ashish K. Jha
Citation: BMJ, 9(353), i2214
Date: 05/2016
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Examines the impact of Medicare's Hospital Value-Based Purchasing (HVBP) program on mortality for pneumonia, heart failure, and acute myocardial infarction by comparing data from acute care hospitals participating in the program to data from over 1,300 Critical Access Hospitals (CAHs) and 44 hospitals in Maryland not in the program.
Author(s): Jose F. Figueroa, Yusuke Tsugawa, Jie Zheng, E. John Orav, Ashish K. Jha
Citation: BMJ, 9(353), i2214
Date: 05/2016
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Utilization of Telemedicine Among Rural Medicare Beneficiaries
Demonstrates the trends in the use of telemedicine utilization by rural Medicare beneficiaries between 2004 and 2013. Data is derived from Current Procedural Terminology (CPT) codes or telemedicine-specific codes, using Medicare's definition for rural. Includes a table comparing patient characteristics for Medicare beneficiaries with and without a telemedicine visit in 2013.
Author(s): Ateev Mehrotra, Anupam B. Jena, Alisa B. Busch, et al.
Citation: JAMA: Journal of the American Medical Association, 315(18), 2015–2016
Date: 05/2016
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Demonstrates the trends in the use of telemedicine utilization by rural Medicare beneficiaries between 2004 and 2013. Data is derived from Current Procedural Terminology (CPT) codes or telemedicine-specific codes, using Medicare's definition for rural. Includes a table comparing patient characteristics for Medicare beneficiaries with and without a telemedicine visit in 2013.
Author(s): Ateev Mehrotra, Anupam B. Jena, Alisa B. Busch, et al.
Citation: JAMA: Journal of the American Medical Association, 315(18), 2015–2016
Date: 05/2016
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Dementia - Capable North Carolina: A Strategic Plan for Addressing Alzheimer's Disease and Related Dementias
Presents results from the North Carolina Senate mandated Task Force on Alzheimer's Disease and Related Dementias. Offers recommendations focused on improving statewide awareness and education about Alzheimer's disease and dementia, supporting people with dementia and their families, enhancing services for treatment of Alzheimer's disease and dementia including those in underserved areas, and improving data collection and research.
Date: 03/2016
Sponsoring organizations: North Carolina Department of Health and Human Services, North Carolina Institute of Medicine
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Presents results from the North Carolina Senate mandated Task Force on Alzheimer's Disease and Related Dementias. Offers recommendations focused on improving statewide awareness and education about Alzheimer's disease and dementia, supporting people with dementia and their families, enhancing services for treatment of Alzheimer's disease and dementia including those in underserved areas, and improving data collection and research.
Date: 03/2016
Sponsoring organizations: North Carolina Department of Health and Human Services, North Carolina Institute of Medicine
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Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Second Annual Report
Evaluations of 9 Health Care Innovation Awards Round One projects focused on implementing shared decision making or medication management programs. Provides findings across projects as well as profiles of each project. Includes medication management projects focused on rural areas.
Date: 03/2016
Sponsoring organizations: Acumen, Centers for Medicare and Medicaid Services
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Evaluations of 9 Health Care Innovation Awards Round One projects focused on implementing shared decision making or medication management programs. Provides findings across projects as well as profiles of each project. Includes medication management projects focused on rural areas.
Date: 03/2016
Sponsoring organizations: Acumen, Centers for Medicare and Medicaid Services
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Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, Second Annual Report
Second annual evaluations of 14 Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Discusses common experiences across projects and profiles each project. Includes 2 rural-focused projects and 7 additional projects that included services to rural areas.
Date: 03/2016
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Second annual evaluations of 14 Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Discusses common experiences across projects and profiles each project. Includes 2 rural-focused projects and 7 additional projects that included services to rural areas.
Date: 03/2016
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Evaluation of Hospital-Setting HCIA Awards: Second Annual Report, Final
Second annual evaluations of 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Includes findings across all projects, as well as profiles of each project. Includes projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Date: 03/2016
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Second annual evaluations of 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Includes findings across all projects, as well as profiles of each project. Includes projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Date: 03/2016
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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