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Rural Health
Resources by Topic: Policy

Drug Discount Program: Characteristics of Hospitals Participating and Not Participating in the 340B Program
Analyzes 2016 cost report data to describe and compare characteristics of 340B participating and non-participating hospitals, specifically examining three hospital types: Critical Access Hospitals (CAHs), Sole Community Hospitals (SCHs), and general acute care hospitals. Discusses trends related to decreased charity care and an increase in Medicaid expansion on 340B hospital participation.
Additional links: Full Report
Date: 07/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Characteristics of the Remaining Uninsured: An Update
Compares characteristics of people who lacked health insurance in March 2015 with those of people who remained uninsured as of March 2017. Uses data from the Current Population Survey Annual Social and Economic Supplements, including socioeconomic and demographic characteristics and insurance eligibility, with breakdowns by urban and rural locations.
Author(s): Linea J. Blumberg, John Holahan, Michael Karpman, Caroline Elmendorf
Date: 07/2018
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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MBQIP Fundamentals Guide for State Flex Programs
Provides information about the history and status of the Medicare Beneficiary Quality Improvement Project (MBQIP). Developed for the benefit of Flex Program personnel and subcontractors and includes resources to support their work, including data report release timelines, MBQIP acronyms, and several summaries of required quality measures changes.
Date: 07/2018
Type: Document
Sponsoring organization: Stratis Health
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Drug Discount Program: Improvements Needed in Federal Oversight of Compliance at 340B Contract Pharmacies
Details an evaluation of HRSA's oversight of contract pharmacies participating in the 340B Drug Pricing Program. Discusses rates of compliance by contract pharmacies and HRSA's enforcement efforts.
Additional links: Full Report
Date: 07/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Medicare Primer
Provides a general overview of the Medicare program. Describes the program’s history, eligibility criteria, covered services, provider payment systems, and program administration, and financing. Includes information specific to rural areas.
Date: 07/2018
Type: Document
Sponsoring organization: Congressional Research Service
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MedPAC Comment on CMS's Interim Final Rule on Durable Medical Equipment Fee Schedule Adjustments
Describes Medicare's method of setting payment rates for durable medical equipment, prosthetics, orthotics, and supplies, and explains the reinstitution of 50/50 blended payment rates for rural and non-contiguous areas from June 1, 2018 to December 31, 2018.
Author(s): Francis J. Crosson
Date: 07/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2018
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 to urban throughout.
Date: 06/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Spurring Innovation: The Role of Child Health Policy
Identifies four target areas to improve child health: Medicaid and the Children’s Health Insurance Program (CHIP) delivery and payment reforms; consumer digital health; precision medicine in pediatrics; and addiction and neonatal abstinence syndrome (NAS). Provides recommendations to further develop child health research and policy. Discusses removing barriers and expanding access to telehealth services to deliver care to child living in rural areas, and the rural incidence of NAS.
Date: 06/2018
Type: Document
Sponsoring organization: AcademyHealth
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Critical Access Hospital eCQM Resource List
Resource list for electronic clinical quality measures (eCQMs), reflecting new materials and updates from the Centers for Medicare & Medicaid Services for 2018 reporting.
Date: 06/2018
Type: Document
Sponsoring organization: Stratis Health
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Global Surgical Days for Critical Access Hospital (CAH) Method II
Discusses Medicare payment regulations for the global surgical package, including pre-operative, intra-operative, and post-operative services, effective July 1, 2018.
Date: 06/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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