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Rural Health
Resources by Topic: Post-acute care

2022 National Strategy to Support Family Caregivers
Report details and defines a national support strategy for family caregivers of all ages. Highlights strategies for caring for children, elderly adults, people with disabilities, people with chronic conditions, and post-acute conditions, among others. Also, discusses recommendations for caregivers residing in rural and underserved areas.
Additional links: Actions for States, Communities, and Others, Federal Actions, First Principles: Cross-Cutting Considerations for Family Caregiver Support
Date: 09/2022
Type: Document
Sponsoring organization: Administration for Community Living
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Measure Applications Partnership 2022 Considerations for Measure Set Review in Federal Programs: Clinician, Hospital, and Post-Acute Care/Long-Term Care
Reviews the 32 healthcare quality and efficiency measures used by the National Quality Forum's Measure Applications Partnership (MAP) during 2022. Discusses measures for clinician programs, hospital programs, and post-acute care/long-term care programs. Includes the MAP Rural Health Advisory Group's support or determination of the suitability of each measure for rural providers.
Date: 09/2022
Type: Document
Sponsoring organization: National Quality Forum
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2022
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: 07/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care
Presents a prototype for a Unified Post-acute Care (PAC) prospective payment system (PPS) that would set payment for PAC services on the basis of the clinical characteristics of the patient rather than the type of provider. Details the structure of the prototype and the data used in the analyses to design and calibrate the PPS. Explores key considerations for unifying PAC payment, such as cost-sharing and value-based payment. Includes data on PAC provider characteristics, including facility size and rural status, as well as rural payment adjustments.
Additional links: Appendices
Author(s): Benjamin Silver, Anne Deutsch, Nicole Coomer, et al.
Date: 07/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Nursing Homes in Rural America: A Chartbook
Explores county-level nursing home availability and evaluates the supply of nursing home beds per 1,000 population aged 65 and older. Identifies nursing home availability for counties with and without hospitals with swing beds, and describes the resident and nursing home characteristics including occupancy levels, payer mix, demographics, and healthcare needs. Features statistics with breakdowns by noncore, micropolitan, and metropolitan counties.
Author(s): Hari Sharma, Lili Xu, Fred Ullrich, Clint MacKinney, Keith J. Mueller
Date: 07/2022
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2023
Comments on an April 6, 2022, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2023. Includes comments on the IRF teaching and rural payment adjustments.
Date: 05/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Post-Acute and Long-term Care Providers and Services Users in the United States, 2017–2018
Describes the supply, organizational characteristics, staffing, and services offered by post-acute and long-term care providers. Provides descriptions of service users, including residents of nursing homes and residential care communities, patients receiving home health or hospice care, and people who attend adult day services centers. Features statistics including distribution of post-acute and long-term care providers in 2017-2018, with breakdowns by metropolitan, micropolitan, or other areas.
Author(s): Manisha Sengupta, Jessica Penn Lendon, Christine Caffrey, Amanuel Melekin, Priyanka Singh
Date: 05/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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MedPAC Report to the Congress: Medicare Payment Policy, 2022
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.
Date: 03/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Measure Applications Partnership 2021-2022 Considerations for Implementing Measures in Federal Programs: Clinician, Hospital, and Post-Acute Care Long-Term Care
Reviews the 44 pre-rulemaking quality measures the National Quality Forum's Measure Applications Partnership (MAP) considered during the 2021-2022 cycle. Discusses measures for clinician programs, hospital and setting-specific programs, and post-acute care/long-term care programs. Highlights the MAP Rural Health Workgroup's support or determination of the suitability of each measure for rural providers.
Date: 03/2022
Type: Document
Sponsoring organization: National Quality Forum
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Quality of Home Health Agencies Serving Rural Medicare Beneficiaries
Describes a study examining the quality of home health agencies (HHAs) that serve rural beneficiaries, based on ratings from the Centers for Medicare and Medicaid Services star rating system. Features statistics including characteristics of HHAs, patient care ratings, and patient experience ratings in 2018 by rural-serving status.
Date: 02/2022
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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