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Rural Health
Resources by Topic: Post-acute care

Medicare Payment Basics: Inpatient Rehabilitation Facilities Payment System
Presents an overview of Medicare's payment system for inpatient rehabilitation services in freestanding facilities or within acute care hospitals.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Skilled Nursing Facility Services Payment System
Provides an overview of Medicare payments for skilled nursing facility services. Discusses rates for small, rural hospitals and Critical Access Hospitals.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nebraska. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2018
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes a chapter on ensuring appropriate access to and use of hospital emergency department (ED) services that provides extensive information on rural access to ED services and identifies examples of rural off-campus emergency departments. Other sections of the report addressing rural concerns focus on post-acute care, quality and value payment programs, and medical device payment policies. Also includes a report on the effects of the Hospital Readmissions Reduction Program.
Additional links: Fact Sheet
Date: 06/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Quality Measures for CAH Swing Bed Patients
Presentation slides presented at the 2018 NRHA Annual Conference identifying quality measures to assess the quality of care provided to swing-bed patients in Critical Access Hospitals (CAHs). Also discusses the implementation of a field test of the quality measures.
Author(s): Ira Moscovice, Michelle Casey, Henry Stabler
Date: 05/2018
Type: Presentation Slides
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Post-Acute Care: Healthcare Leaders Offer Practical Solutions to Workforce Challenges
Describes methods for preparing and supporting healthcare workers who provide post-acute care in rural areas. Highlights programs that empower and train staff, maximize community partnerships, involve community health workers, and use telemonitoring.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Post-Acute Care: Improving Transitions to Enhance Patient Recovery
Highlights approaches that are improving patient transitions from acute care to post-acute care (PAC) in rural settings. Features a tertiary facility’s communication with skilled nursing facilities in Tennessee and Kentucky, a Nebraska Critical Access Hospital’s swing bed program, and a home health agency serving rural Maine.
Author(s): Jenn Lukens
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Market Characteristics Associated with Rural Hospitals' Provision of Post-Acute Care
Findings brief summarizing hospital- and market-level factors related to post-acute care (PAC) provided in rural hospitals from 2012-2015. Features statistics including number of rural Medicare cost reports from 2012-2015, PAC provision by census region in 2015, and percent of hospitals in frontier and remote areas in 2015 with breakdowns by type and PAC provision.
Author(s): Abby F. Hoffman, Randy K. Randolph, Alex R. Schulte, George H. Pink
Date: 04/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural and Urban Provider Market Share of Inpatient Post-Acute Care Services Provided to Rural Medicare Beneficiaries
Findings brief examining rural patients' access to rehabilitation and skilled nursing care, using claims data from January 2013 through March 2014. Features statistics including numbers of patient days and discharges and average length of stay, with breakdowns by type and location of facility and type of care.
Author(s): Alex R. Schulte, Denise A. Kirk, Randy K. Randolph, George H. Pink
Date: 04/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Critical Access Hospital Swing-Bed Quality Measures: Findings from Key Informant Interviews
Results of a study to examine how Critical Access Hospitals (CAHs) are assessing the quality of care given to swing bed patients. Uses data from interviews with representatives from CAH networks, consultants, and staff members responsible for swing bed services at 10 CAHs and 2 rural PPS hospitals in 10 states.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 04/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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