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Rural Health
Resources by Topic: Outpatient care

Medicare Covers a Lower Percentage of Outpatient Costs in Hospitals Located in Rural Areas
Policy brief describing differences in Medicare Outpatient Prospective Payment System (OPPS) payments between urban and rural hospitals. Features statistics on OPPS payments as a percent of total net patient revenue, as a percent of Medicare outpatient cost by hospital payment classification, and as a percent of Medicare outpatient cost by number of acute beds, with breakdowns by urban and rural location.
Author(s): Pranathi Sana, George H. Pink
Date: 09/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Trends at Minnesota Community Hospitals, 2016 to 2019
Summarizes utilization and financial trends at Minnesota community hospitals between 2016 and 2019. Presents data on indicators by hospital affiliation and Critical Access Hospital status.
Date: 08/2021
Type: Document
Sponsoring organization: Minnesota Department of Health
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2021
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures.
Date: 07/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Healthcare Surge Readiness
Up-to-date and critical resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 07/2021
Type: Website
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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MedPAC Report to the Congress: Medicare Payment Policy, 2021
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation. Contains information on the effects of the COVID-19 pandemic on Medicare beneficiary healthcare access, mortality, and service use. Presents an option for Medicare's coverage of telehealth beyond the public health emergency.
Date: 03/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Association of CMS-HCC Risk Scores with Health Care Utilization among Rural and Urban Medicare Beneficiaries
Research brief exploring healthcare utilization by rural and urban Medicare beneficiaries in order to better understand CMS Hierarchical Condition Categories (HCCs) and accurately apply the CMS-HCC risk score model. Analyzes 2014 CMS-HCC risk score data for different healthcare outcomes, including inpatient and outpatient ER visits, acute inpatient stays, and hospital readmissions, comparing rural and urban populations.
Author(s): Tyler Malone, Denise Kirk, Randy Randolph, Kristin Reiter
Date: 12/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Medicare Payment Basics: Outpatient Hospital Services Payment System
Outlines Medicare's payments for outpatient hospital services. Features considerations for rural sole community hospitals.
Date: 10/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Outpatient Dialysis Services Payment System
Overview of Medicare payment methods for outpatient dialysis services of beneficiaries with end-stage renal disease (ESRD). Describes the base payment rate for freestanding and hospital-based facilities, and identifies facility level adjustments including facilities located in rural areas.
Date: 10/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Pharmacist-Led Chronic Care Management for Medically Underserved Rural Populations in Florida During the COVID-19 Pandemic
Describes how ambulatory care pharmacists and student pharmacists are implementing telehealth during the COVID-19 pandemic to provide chronic care management to underserved, rural communities in Florida. Discusses implications for public health.
Author(s): Madison Como, Chenita White Carter, Margareth Larose-Pierre, et al.
Citation: Preventing Chronic Disease, 17
Date: 07/2020
Type: Document
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HIV Testing Trends at Visits to Physician Offices, Community Health Centers, and Emergency Departments — United States, 2009–2017
Examines HIV testing by setting for visits of males and nonpregnant females to physician offices, community health centers, and emergency departments. Includes data for metropolitan and nonmetro areas.
Author(s): Karen W. Hoover, Ya-Lin A. Huang, Mary L. Tanner, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(25), 776-780
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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