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Rural Health
Resources by Topic: Outpatient care

MedPAC Response to a Congressional Request for Information on Improving Access to Health Care in Rural and Underserved Areas
Letter to the House Committee on Ways and Means request for information on improving access to healthcare in rural and underserved areas. Covers MedPAC recommendations for policies to target payments to better support rural and vulnerable beneficiaries' access to care, including the Rural Emergency Hospital program and a proposed Medicare Safety-Net Index; changes to the hospital wage index to address geographic inequities; and the alignment of payment rates across ambulatory settings for certain services.
Date: 09/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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September 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare Advantage benefits and coding, the Acute Care Hospital at Home program, and the shift of some surgical procedures from hospital outpatient departments to ambulatory surgical centers (ASCs). Includes rural references and considerations throughout.
Date: 09/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Outpatient Prospective Payment System for FY 2024
Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2023
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: 07/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Telemedicine and the Carbon Footprint of Healthcare: An Empirical Analysis of Illinois Counties
Examines the impact of telemedicine on reducing carbon emissions in Illinois. Provides metro versus nonmetro estimates as well as county-level estimates of carbon emissions savings in both outpatient and hospital settings.
Author(s): Adee Athiyaman
Date: 07/2023
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Directory of Mississippi Health Facilities
Directory of Mississippi health facilities with address, phone number, and accreditation status if applicable, current as of July 31, 2023. Includes a list of rural health facilities on pages 87-98.
Date: 07/2023
Type: Directory
Sponsoring organization: Mississippi State Department of Health
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April 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2023 meeting. Covers high prices of drugs covered under Medicare Part B, draft recommendations for reforming Medicare's wage index systems, aligning fee-for-service payment rates across ambulatory settings, leveraging Medicare policies to address social determinants of health, assessing post-sale rebates for prescription drugs in Medicare Part D, and assessing the need for Medicare safety net payments for skilled nursing facilities and home health agencies. Features discussions on draft reports regarding a prototype design for a post-acute care prospective payment system, telehealth in Medicare, and behavioral health in Medicare. Includes rural references throughout.
Date: 04/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2023
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; Medicare Advantage (MA), including a mandated report comparing per enrollee spending in the MA program with that of traditional fee-for-service (FFS) Medicare; and Medicare Part D.
Date: 03/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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National Ambulatory Medical Care Survey: 2019 National Summary Tables
Provides data on outpatient visits to physician offices, with information on physician practice, patient, and visit characteristics. Tables 1, 12, 17, and 28 include data by metropolitan status for metro and nonmetro areas.
Date: 01/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Total Knee Arthroplasty in the Outpatient vs Inpatient Settings: Impact of Site of Care on Early Postoperative Economic and Clinical Outcomes
Compares inpatient and outpatient outcomes of total knee arthroplasty adult patients treated with the Attune Knee System implant between October 1, 2015 and December 2020. Table 1 shows comparison of rural patients to urban patients among other demographic characteristics. Discusses the difference in both clinical and financial outcomes when the procedure occurs at rural hospitals as compared to urban hospitals.
Author(s): Jack Mantel, Jill W. Ruppenkamp, Maricruz Cantu, Chantal E. Holy
Citation: Journal of Orthopaedic Surgery and Research, 2023(18), 273
Date: 2023
Type: Document
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