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Rural Health
Resources by Topic: Post-acute care

States' Medicaid Fee-for-Service Nursing Facility Payment Policies
Spreadsheet outlining each state's Medicaid fee-for-service (FFS) nursing facility payment policy. Lists how each state sets the payment rate and any adjustments and supplemental payments. Includes information on rural/urban aspects of setting or adjustment to the payment in each state.
Date: 10/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Home Health Chartbook, 2019
Provides an overview of home health including patient demographics and clinical profiles, organizational trends, the economic contribution of home health agencies, and patient outcomes. Includes charts and graphs throughout, as well as state-by-state data. Slide 8 highlights the rural-urban distribution of home health users.
Date: 09/2019
Type: Presentation Slides
Sponsoring organizations: Alliance for Home Health Quality and Innovation, Avalere Health
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Small Rural Hospital Transition (SRHT) Project Guide: A Rural Hospital Guide to Improving Care Management: 2019 Update
A guide for rural hospital leadership that identifies best practices in care management. Addresses care management roles and staffing needs and covers utilization review and discharge planning. Helps identify opportunities for process improvement. Also discusses competencies needed to transition to a value-based reimbursement environment focused on population health.
Author(s): Stroudwater
Date: 08/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Patient Experience and Function, Fall 2018 Cycle: CDP Report
Evaluates 5 new measures related to patient function and experience of care and supports using them for quality improvement efforts and public reporting. Measures focus on care coordination, particularly following discharge in order to reduce hospital readmissions. Includes Critical Access Hospitals under acute care hospitals, with exclusions for swing bed stays.
Date: 08/2019
Type: Document
Sponsoring organization: National Quality Forum
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Evidence Brief: Managing Acute Pain in Patients with Opioid Use Disorder on Medication-assisted Treatment
Brief details the Veterans Health Administration's best practice on acute pain treatment for patients undergoing medication-assisted treatment for opioid use disorder. Includes supplemental materials that highlight search strategies and evidence tables among other materials.
Additional links: Supplementary Materials
Author(s): Stephanie Veazie, Katherine Mackey, Donald Bourne, Kim Peterson
Date: 08/2019
Type: Document
Sponsoring organization: Veterans Health Administration
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Mercy Health - Marcum and Wallace Hospital Invests in Swing Bed Program
Highlights the Marcum and Wallace Hospital's work to implement the Small Rural Hospital Transition (SRHT) project recommendations with the goal of expanding the swing bed program to reduce readmission rates. Marcum and Wallace Hospital is a 25-bed Critical Access Hospital in Irvine, Kentucky.
Date: 08/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2020
Comments on an April 24, 2019, Federal Register proposed rule updating payments for Inpatient Rehabilitation Facilities (IRFs) and IRF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Advisory Commission (MedPAC) Public Meeting, April 4-5, 2019
Includes presentation slides and brief presentation descriptions from a meeting of the Medicare Payment Advisory Commission (MedPAC) addressing Medicare spending and payment issues. Covers value-based payment, Medicare Shared Savings Program (MSSP) performance, the Medicare Advantage quality bonus program, emergency department spending, post-acute care patient assessment, Medicare Part D drug costs, and payments for rural and low-volume dialysis facilities.
Additional links: Full Meeting Transcript, Improving Payment for Low-Volume and Isolated Outpatient Dialysis Facilities
Date: 04/2019
Type: Presentation Slides
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2019
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses opioids, Medicare Part D, Medicare Advantage, Medicare's quality incentive program for hospitals, and payment adequacy for healthcare facilities and services.
Date: 03/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Long-term Care Providers and Services Users in the United States, 2015-2016
Describes the supply, organizational characteristics, staffing, and services offered by providers. Gives descriptions of services users, including residents of nursing homes and residential care communities, patients receiving home health or hospice care, and people who attend adult day care centers. Features statistics including distribution of long-term care providers in 2016, with breakdowns by metropolitan, micropolitan, or other area.
Additional links: State Estimates Supplement
Author(s): L. Harris-Kojetin, M. Sengupta, J.P. Lendon, et al.
Date: 02/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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