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Rural Health
Resources by Topic: Post-acute care

Regulatory Overload: Assessing the Regulatory Burden On Health Systems, Hospitals And Post-Acute Care Providers
Discusses the level, impact, and opportunities to reduce regulatory burden on healthcare systems and offers recommendations for immediate relief. Assesses the impact across nine domains: quality reporting, new models of care/value-based payment, meaningful use of electronic health records, hospital conditions of participation, program integrity, fraud and abuse, privacy and security, post-acute care, and billing and coverage verification requirements. Page 21 discusses the disproportionate impact of fraud and abuse laws on rural providers.
Additional links: Executive Summary, Infographic: Federal Agencies with Regulatory or Oversight Authority Impacting Hospitals, Infographic: Regulatory Burden Overwhelming Providers, Diverting Clinicians from Patient Care
Date: 10/2017
Type: Document
Sponsoring organization: American Hospital Association
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The Financial Importance of Medicare Post-Acute and Hospice Care to Rural Hospitals
Findings brief describing variation in the number of hospitals in rural areas providing Medicare post-acute care (PAC) and hospice care, average amount of revenue generated for these services, and financial importance to rural hospitals. Includes statistics on 2015 Medicare PAC and hospice care revenue as percentage of patient revenue in 1,205 Critical Access Hospitals and 964 Prospective Payment System hospitals.
Author(s): Alex Schulte, H. Ann Howard, George H. Pink
Date: 07/2017
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2017
Includes chapters on implementing a unified payment system for post-acute care, Part B drug payment issues, the redesign of the Merit-based Incentive Payment System (MIPS) and other alternative payment models, manufacturers payments to physicians and teaching hospitals, stand-alone emergency departments, skilled nursing facility use, and more. Rural hospitals, rural referral centers, and rural patient populations are discussed throughout the report.
Date: 06/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2017
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussions on Medicare payment policies that directly affect rural providers and beneficiaries.
Date: 03/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MLN Suite of Products & Resources for Rural Health Providers
Provides links to rural-specific sites and Medicare Learning Network (MLN) resources that can help you understand Medicare program requirements and processes. Includes learning resources for topics such as Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), swing bed services, Federally Qualified Health Centers (FQHCs), and more.
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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An All-Payer View of Hospital Discharge to Postacute Care, 2013
Presents data on hospital discharges to different post-acute care settings: inpatient rehabilitation facilities, long-term care hospitals, skilled nursing facilities, and home health agency care. Includes information by hospital type for rural and urban hospitals, as well as by hospital size and region.
Author(s): Wen Tian
Date: 05/2016
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Impact of Swing Beds
Policy brief providing an overview of the current value of swing beds as a critical healthcare service providing quality of care, helping to reduce readmission rates, and creating additional revenue for small rural hospitals at risk of experiencing financial challenges.
Author(s): Jim Parrish, Ann Turner, Margaret Woeppel
Date: 02/2016
Type: Document
Sponsoring organization: National Rural Health Association
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Small Rural Hospital Transition (SRHT) Project Guide: A Rural Hospital Guide to Improving Care Management
Helps hospital management teams recognize best practices associated with care management and other opportunities for performance improvement to support quality of care. Includes information regarding care management roles and staffing needs with a focus on the discharge planning process. Serves as a resource for State Offices of Rural Health directors and Flex Program coordinators to help rural hospitals with transition efforts in developing training programs that will support performance improvement.
Author(s): Stroudwater
Date: 10/2015
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Post-discharge Rehabilitation Care Delivery for Rural Medicare Beneficiaries with Stroke
Discusses the factors associated with post-discharge rehabilitation care (PDRC) that influence the recovery and quality of life for rural stroke survivors receiving Medicare. Factors highlighted include distance to healthcare, type of rehabilitation, initial hospital admission, and patient race/ethnicity.
Additional links: Key Facts
Author(s): Jessica D. Bellinger, Zhimin Chen, Saundra Glover, et al.
Date: 09/2015
Type: Document
Sponsoring organization: South Carolina Rural Health Research Center
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Revisions to State Operations Manual (SOM) Appendices A, G, L and T Related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and Swing Beds
Revises the Centers for Medicare & Medicaid Services' State Operations Manual (SOM) to reflect regulation changes affecting Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and Swing Beds in hospitals.
Date: 04/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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