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Rural Health
Resources by Topic: Medicare

Rural Hospital Participation in the Medicare Shared Savings Program
Proposes modifications to the Medicare Shared Savings Programs (MSSP) and the Advanced Payment Program to help transform the healthcare delivery system in rural communities. Discusses expanding Medicare beneficiaries in rural communities from a single primary care provider to a Community Care Organization (CCO) with shared savings payments and providing early payments to CCOs to support infrastructure and chronic disease management.
Author(s): Lynn Barr
Date: 02/2013
Sponsoring organization: National Rural Health Association
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Telehealth and Medicare: Payment Policy, Current Use, and Prospects for Growth
Examines growth in Medicare paid telehealth services by analyzing claims data matched to patient zip codes and provider characteristics. Includes a map of Medicare beneficiaries using telehealth by county of residence and analysis on the types of telehealth services provided.
Author(s): Matlin Gilman, Jeff Stensland
Citation: Medicare & Medicaid Research Review, 3(4)
Date: 2013
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Implications of Proposed Changes to Rural Hospital Payment Designations
Discusses the short-term policy implications of proposed changes to the designation and payment guidelines for small rural hospitals. Focuses on proposed changes to rural Medicare payments for hospitals and physicians, as well as a proposal to change the CAH distance requirements.
Date: 12/2012
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Electronic Health Records: Number and Characteristics of Providers Awarded Medicare Incentive Payments for 2011
Reports on Medicare electronic health record incentive payments for 2011 to hospitals and healthcare providers. Compares incentive payments by geographic location including rural/urban breakdowns, hospital type including Critical Access Hospitals, and healthcare provider specialty.
Additional links: Full Report
Date: 07/2012
Sponsoring organization: Government Accountability Office
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Rural Implications of the Center for Medicare and Medicaid Innovation
One of a series of policy briefs that focus on the rural implications of key provisions from the Patient Protection and Affordable Care Act. Includes policy recommendations that will be sent to the Secretary of the U.S. Department of Health and Human Services.
Date: 06/2012
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Serving Rural Medicare Beneficiaries
Chapter five of MedPAC's Report to Congress: Medicare and the Health Care Delivery System. Covers rural Medicare beneficiaries, access to health services, rural vs urban coverage of care, health care quality in rural areas, and rural payment adjustments.
Date: 06/2012
Sponsoring organization: Medicare Payment Advisory Commission
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Anticipating the Rural Impact of Medicare Value-Based Purchasing
Describes the design and implementation of Medicare value-based purchasing (VBP) programs. Addresses the potential impact of these programs on rural healthcare providers. Includes discussion on the five provider types: Prospective Payment system (PPS) hospitals, Critical Access Hospitals (CAHs), Skilled Nursing Facilities (SNFs), home health agencies, and physician office practices.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Nicholas P. Lillios, et al.
Date: 04/2012
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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MedPAC Report to the Congress: Medicare Payment Policy, 2012
Reviews Medicare payment policies and covers policy recommendations to Congress. Discusses rural aspects of Medicare payment policies.
Date: 03/2012
Sponsoring organization: Medicare Payment Advisory Commission
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National Advisory Committee on Rural Health and Human Services Meeting Minutes, Washington DC, February 15-17, 2012
Minutes from the NACRHHS, which provides recommendations on rural health and human services issues to the Secretary of the Department of Health and Human Services. Meeting included the following topics: Center for Medicare and Medicaid Innovation, children and families, Head Start, health professional shortage areas, rural healthcare infrastructure, and the White House Rural Council.
Date: 2012
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Geographic Adjustment in Medicare Payment Phase I: Improving Accuracy, Second Edition
Report brief that expands on recommendations made in an earlier report for improving how the Medicare program calculates geographic practice cost indexes that result in payments to hospitals, physicians, and other clinical practitioners based on their geographic locations.
Additional links: Read Online
Date: 2012
Sponsoring organization: Institute of Medicine
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