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 view details
Rural Veterans' Experiences With Outpatient Care in the Veterans Health Administration Versus Community Care
Compares rural veterans' experiences with community care (CC) and Veterans Administration (VA) outpatient healthcare services to those of urban veterans, and examines changes over time. Features demographic statistics with breakdowns by rural CC and rural VA patients, and ratings for 4 healthcare experiences and outcome measures for rural and urban veterans in fiscal years 2016 and 2019.
Author(s): Heather Davila, Amy K. Rosen, Erin Beilstein-Wedel, et al. Citation: Medical Care, 59, S286-S291 Date: 06/2021 Type: Document view details
National Hospital Ambulatory Medical Care Survey: 2018 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location, Table 2 includes metro/nonmetro ED visit data by location of patient residence, and Table 14 has metro/nonmetro injury visit data based on hospital location.
Date: 05/2021 Type: Document Sponsoring organization: National Center for Health Statistics view details
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 view details
January 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2021 meeting. Features a discussion on the expansion of telehealth in Medicare. Also covers payment adequacy and updates for hospital inpatient and outpatient services and the mandated report expanding the post-acute care transfer policy to hospice, physician and other health professional services, ambulatory surgical center services, outpatient dialysis services, hospice services, skilled nursing facility services, home health agency services, inpatient rehabilitation facility services, long-term care
hospital services, and CMMI's development and implementation of alternative
Date: 01/2021 Type: Document Sponsoring organization: Medicare Payment Advisory Commission view details
December 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2020 meeting. Covers payment adequacy and updates for hospital
inpatient and outpatient services and the mandated report on expanding the post-acute care transfer policy to hospice, ambulatory surgical center services, outpatient dialysis services, physician and other health professional services, hospice services, and a status report and benchmark policy option on the Medicare Advantage program. Includes rural references throughout.
Date: 12/2020 Type: Document Sponsoring organization: Medicare Payment Advisory Commission view details
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 view details
Rural Healthcare Surge Readiness
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: 07/2020 Type: Document Sponsoring organization: COVID-19 Healthcare Resilience Working Group view details