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Rural Health
Resources by Topic: Post-acute care

Post-Acute Care Trajectories for Rural Medicare Beneficiaries: Planned versus Actual Hospital Discharges to Skilled Nursing Facilities and Home Health Agencies
Examines care transitions among rural fee-for-service Medicare beneficiaries following discharge from an acute care hospital. Compares planned and actual discharges to home health agencies and skilled nursing facilities. Discusses implications of these findings on rural healthcare policy and practice.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, et al.
Date: 03/2021
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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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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Measure Applications Partnership 2020-2021 Considerations for Implementing Measures in Federal Programs: Clinician, Hospital & PAC/LTC
Reviews the 20 pre-rulemaking quality measures the National Quality Forum's Measure Applications Partnership (MAP) considered during the 2020-2021 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: 03/2021
Type: Document
Sponsoring organization: National Quality Forum
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The Effect of Medicare Payment Standardization Methods on the Perceived Cost of Post-Acute Swing Bed Care in Critical Access Hospitals
Discusses the different payment systems the Centers for Medicare and Medicaid Services (CMS) uses to reimburse for post-acute care in Critical Access Hospitals (CAHs), prospective payment system (IPPS) hospitals, and skilled nursing facilities (SNFs). Describes how the payment standardization methods may influence post-acute care discharge patterns and access to care for rural residents. Examines the effects of these payment methods on the perceived cost of CAH swing bed care as it relates to the Medicare Spending per Beneficiary performance measure.
Author(s): Tyler Malone, Denise Kirk, Kristin Reiter
Date: 03/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Customizable Communications Toolkit
Provides a catalog of internal and external communications resources to support rural hospitals and clinics. Includes customizable print and digital resources, scripts, and talking points to promote community trust, preventive screenings, swing bed services, and telehealth.
Date: 01/2021
Type: Website
Sponsoring organizations: Legato Healthcare Marketing, National Rural Health Resource Center
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Medicare Severe Wound Care: Spending Declines May Reflect Site of Care Changes; Limited Information Is Available on Quality
Reports on an analysis of where Medicare beneficiaries received care for severe wounds in 2018 and Medicare payment for these services. Provides an overview of the implementation of a dual payment system for long-term care hospitals in 2016, and examines how the dual payment system affected the availability and quality of severe wound care for Medicare beneficiaries. Includes data on severe wound care by facility type in addition to Medicare spending by urban and rural location.
Additional links: Full Report
Date: 01/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Chronic Care Management - Understanding the Value & How it can Transform your Quality of Care
Webinar presented by a representative of the Illinois Critical Access Hospital Network, identifying key components required to create a chronic care management (CCM) program in rural hospitals, listing quality measures and outcomes affected by the CCM process, and showing income opportunities CCM programs provide. Explains what data institutions should track in order to remain compliant with regulations, and shows ways that CMM programs can reduce negative patient outcomes. Transcript available by clicking the three dots above the Subscribe button.
Additional links: Slides
Author(s): Trudi Colby
Date: 12/2020
Type: Video/Multimedia
Sponsoring organizations: Association for Rural & Community Health Professional Coding, Illinois Critical Access Hospital Network
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Transitional Care Management - Simple Process with a Big Impact
Webinar presented by a representative of the Illinois Critical Access Hospital Network, showing how to identify and understand the different ways in which transitional care management (TCM) can work in healthcare facilities to improve healthcare quality. Lists the key components within TCM guidelines and identifies which types of providers can or cannot perform TCM services. Transcript available by clicking the three dots above the Subscribe button.
Additional links: Slides
Author(s): Trudi Colby
Date: 12/2020
Type: Video/Multimedia
Sponsoring organizations: Association for Rural & Community Health Professional Coding, Illinois Critical Access Hospital Network
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Frontier Community Health Integration Project (FCHIP) Demonstration Evaluation: Final Evaluation Report
Presents findings from an evaluation of the Frontier Community Health Integration Project (FCHIP) Demonstration. Describes the three possible interventions, including their impact, progress and accomplishments, challenges, and lessons learned. Identifies commonalities that emerged across the FCHIP interventions that may inform future demonstrations among rural healthcare providers.
Additional links: Findings At-A-Glance
Date: 12/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Medicare Payment Basics: Skilled Nursing Facility Services Payment System
Overview of Medicare payments for skilled nursing and rehabilitation services. Describes what constitutes a skilled nursing facility and how small, rural hospitals and critical access hospitals may be used to provide these services with CMS approval. Compares Medicare daily base rates for urban and rural skilled nursing facilities.
Date: 10/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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