Rural Health
Resources by Topic: Medicare
Rural ACO Leaders Speak: What Have Been the Biggest Challenges and the Biggest Advantages to Creating Your ACO?
Five rural Accountable Care Organization (ACO) leaders discuss the biggest challenges and advantages they've experienced in building an ACO.
Author(s): Zachary Toliver
Citation: Rural Monitor
Date: 03/2016
Sponsoring organization: Rural Health Information Hub
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Five rural Accountable Care Organization (ACO) leaders discuss the biggest challenges and advantages they've experienced in building an ACO.
Author(s): Zachary Toliver
Citation: Rural Monitor
Date: 03/2016
Sponsoring organization: Rural Health Information Hub
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Access to Rural Home Health Services: Views from the Field
Describes current issues affecting access to rural home health services, with an emphasis on Medicare-reimbursed programs. Based on published research, gray literature, and telephone interviews with 40 key informants from 19 states between May 2014 and March 2015. Discusses challenges and barriers to access as well as possible solutions.
Author(s): Susan M. Skillman, Davis G. Patterson, Cynthia Coulthard, Tracy M. Mroz
Date: 02/2016
Sponsoring organization: WWAMI Rural Health Research Center
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Describes current issues affecting access to rural home health services, with an emphasis on Medicare-reimbursed programs. Based on published research, gray literature, and telephone interviews with 40 key informants from 19 states between May 2014 and March 2015. Discusses challenges and barriers to access as well as possible solutions.
Author(s): Susan M. Skillman, Davis G. Patterson, Cynthia Coulthard, Tracy M. Mroz
Date: 02/2016
Sponsoring organization: WWAMI Rural Health Research Center
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CMS Manual System: Revisions to Medicare State Operations Manual, Chapter 9 - Critical Access Hospital (CAH) Recertification Checklist: Rural and Distance or Necessary Provider Verification
Provides a list of the necessary components to be confirmed when Critical Access Hospitals (CAHs) are surveyed for recertification to determine if they meet the rural location and distance or necessary provider requirements to maintain their CAH status. Identifies the procedures used by the CMS Regional Office and state survey agencies to determine if CAHs meet the necessary requirements.
Date: 02/2016
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides a list of the necessary components to be confirmed when Critical Access Hospitals (CAHs) are surveyed for recertification to determine if they meet the rural location and distance or necessary provider requirements to maintain their CAH status. Identifies the procedures used by the CMS Regional Office and state survey agencies to determine if CAHs meet the necessary requirements.
Date: 02/2016
Sponsoring organization: Centers for Medicare and Medicaid Services
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Benefiting Hospitals, Not Patients: An Analysis of Charity Care Provided by Hospitals Enrolled in the 340B Discount Program
Examines charity care levels at 340B Disproportionate Share Hospitals (DSHs) to determine if eligibility criteria for DSH hospitals appropriately align with the 340B programs goal of supporting access to prescription drugs for uninsured and vulnerable populations. Appendix provides additional information and operating statistics specific to Critical Access Hospitals (CAHs).
Date: 2016
Sponsoring organization: Alliance for Integrity and Reform of 340B
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Examines charity care levels at 340B Disproportionate Share Hospitals (DSHs) to determine if eligibility criteria for DSH hospitals appropriately align with the 340B programs goal of supporting access to prescription drugs for uninsured and vulnerable populations. Appendix provides additional information and operating statistics specific to Critical Access Hospitals (CAHs).
Date: 2016
Sponsoring organization: Alliance for Integrity and Reform of 340B
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ACO Investment Model, Rural Hospital Collaboration
Highlights how 3 rural Minnesota hospitals implemented the Accountable Care Organization Investment Model (AIM), which encourages coordinated care in rural areas through upfront and ongoing Centers for Medicare & Medicaid Services (CMS) payments.
Date: 2016
Sponsoring organization: American Hospital Association Rural Health Services
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Highlights how 3 rural Minnesota hospitals implemented the Accountable Care Organization Investment Model (AIM), which encourages coordinated care in rural areas through upfront and ongoing Centers for Medicare & Medicaid Services (CMS) payments.
Date: 2016
Sponsoring organization: American Hospital Association Rural Health Services
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Grandfathered Tribal (GFT) Federally Qualified Health Center (FQHC) Training: Overview of Requirements and Policies
Provides a summary of the requirements and policies, effective January 1, 2016, for Indian Health Services (IHS), and tribal facilities and organizations when a change in status may allow the healthcare facility to become certified as a Grandfathered Tribal FQHC.
Date: 12/2015
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides a summary of the requirements and policies, effective January 1, 2016, for Indian Health Services (IHS), and tribal facilities and organizations when a change in status may allow the healthcare facility to become certified as a Grandfathered Tribal FQHC.
Date: 12/2015
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Care Innovation Awards (HCIA) Meta-Analysis and Evaluators Collaborative: Annual Report Year 1
Highlights key implementation and impact findings across 108 Health Care Innovation Awards (HCIA) grant recipients, based on work by 7 independent evaluators. Includes discussion of project experiences in rural areas.
Date: 11/2015
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Highlights key implementation and impact findings across 108 Health Care Innovation Awards (HCIA) grant recipients, based on work by 7 independent evaluators. Includes discussion of project experiences in rural areas.
Date: 11/2015
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Hospital Value-based Purchasing: Initial Results Show Modest Effects on Medicare Payments and No Apparent Change in Quality-of-Care Trends
Evaluates the initial effects of the Hospital Value-based Purchasing (HVBP) program on Medicare bonus payments and penalties, the quality of care provided, and selected quality improvement efforts during FY 2013-15. Analyzes data from safety net, small urban, and small rural hospitals.
Additional links: Full Report
Date: 10/2015
Sponsoring organization: Government Accountability Office
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Evaluates the initial effects of the Hospital Value-based Purchasing (HVBP) program on Medicare bonus payments and penalties, the quality of care provided, and selected quality improvement efforts during FY 2013-15. Analyzes data from safety net, small urban, and small rural hospitals.
Additional links: Full Report
Date: 10/2015
Sponsoring organization: Government Accountability Office
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Performance Measurement for Rural Low-Volume Providers: Final Report
Identifies challenges to measuring healthcare performance among low-volume rural providers, and presents recommendations to meet these challenges. Primary focus is on finding appropriate quality measures for use within Centers for Medicare and Medicaid Services' (CMS) pay-for-performance programs and encouraging rural participation in CMS quality improvement initiatives.
Date: 09/2015
Sponsoring organization: National Quality Forum
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Identifies challenges to measuring healthcare performance among low-volume rural providers, and presents recommendations to meet these challenges. Primary focus is on finding appropriate quality measures for use within Centers for Medicare and Medicaid Services' (CMS) pay-for-performance programs and encouraging rural participation in CMS quality improvement initiatives.
Date: 09/2015
Sponsoring organization: National Quality Forum
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Simulation and Analysis of an Alternative Medicare Home Health Payment System Not Based on Number of Therapy Visits
Outlines a possible approach to redesigning the Medicare home health payment system and describes the likely impacts of such a change. Includes statistics with breakdowns by number of therapy and non-therapy visits, payment-to-cost ratios, medical procedure or chronic illness, and type of health facility.
Author(s): Doug Wissoker, Bowen Garrett
Date: 08/2015
Sponsoring organization: Urban Institute
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Outlines a possible approach to redesigning the Medicare home health payment system and describes the likely impacts of such a change. Includes statistics with breakdowns by number of therapy and non-therapy visits, payment-to-cost ratios, medical procedure or chronic illness, and type of health facility.
Author(s): Doug Wissoker, Bowen Garrett
Date: 08/2015
Sponsoring organization: Urban Institute
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